title: New treatment option for early spontaneous rupture of a postmyomectomy gravid uterus.
abstract: OBJECTIVE
  To report the successful treatment of a postmyomectomy, early uterine rupture with the use of a Bakri balloon.
  
  
  METHODS
  Case report.
  
  
  METHODS
  University hospital, department of obstetrics and gynecology.
  
  
  METHODS
  A 32-year-old patient, gravida 1, at 19 weeks' gestation, with postmyomectomy spontaneous uterine rupture and concurrent uterine atony.
  
  
  METHODS
  Laparotomy was done because of massive hemoperitoneum. A Bakri balloon was inserted, and a two-layer suture of the uterine defect was performed.
  
  
  METHODS
  Possibility of controlling hemorrhage and avoiding hysterectomy.
  
  
  RESULTS
  Contemporary surgical sutures and insertion of a Bakri balloon were effective at controlling hemorrhage. The uterus was preserved.
  
  
  CONCLUSIONS
  The use of a Bakri balloon, combined with traditional surgical techniques, is described as a new method to successfully treat hemorrhage in the case of early spontaneous uterine rupture. In this case, hysterectomy was also avoided.
authors.affiliation: Department of Obstetrics and Gynecology, University of Perugia, Perugia, Italy. gerber@unipg.it
authors.forename: Sandro
authors.initials: S
authors.lastname: Gerli
authors.forename: Gabriela
authors.initials: G
authors.lastname: Baiocchi
authors.forename: Alessandro
authors.initials: A
authors.lastname: Favilli
authors.forename: Gian Carlo
authors.initials: GC
authors.lastname: Di Renzo
mesh_terms: D004867:Equipment Design; D005260:Female; D005313:Fetal Death / Q000209:etiology; D005865:Gestational Age; D020073:Gravidity; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects*; D006465:Hemoperitoneum / Q000209:etiology / Q000601:surgery*; D006489:Hemostatic Techniques / Q000295:instrumentation; D006801:Humans; D007889:Leiomyoma / Q000601:surgery*; D011247:Pregnancy; D013536:Suture Techniques; D016896:Treatment Outcome; D014593:Uterine Inertia / Q000209:etiology; D014594:Uterine Neoplasms / Q000601:surgery*; D014597:Uterine Rupture / Q000209:etiology / Q000601:surgery*