title: Uterine rupture in the second trimester of pregnancy as an iatrogenic complication of laparoscopic myomectomy.
abstract: Uterine rupture is one of the most dangerous obstetric emergencies carrying a high risk for the mother and the fetus. Reports about uterine rupture in pregnancy following previous laparoscopic surgery have not been frequent; however, an increasing rate of the occurrence of this complication has been observed and reviewed in contemporary literature. We report a case of a spontaneous uterine rupture at 22 weeks of gestation in a 25-year old primigravida, who had had a laparoscopic removal of a small, peduncular, asymptomatic myoma located in the right uterine horn 20 months earlier. Ultrasound examination and subsequent urgent laparotomy confirmed a spontaneous uterine rupture with a nonviable fetus in the peritoneal cavity. Women planning to become pregnant should be qualified for laparoscopic myomectomy with special carefulness. Special attention must be paid to the potential solutions that limit the risk of postoperative uterine rupture, if the absolute necessity for the enucleation of myomas during the reproductive age occurs and a decision about laparoscopic intervention is made.
authors: Department of Obstetrics and Gynecology, Pomeranian Medical University, 72 Powstańców Wielkopolskich Avenue, 70-111 Szczecin, Poland. torbea@wp.pl
authors: Andrzej
authors: A
authors: Torbé
authors: Wioletta
authors: W
authors: Mikołajek-Bedner
authors: Wojciech
authors: W
authors: Kałużyński
authors: Danuta
authors: D
authors: Gutowska-Czajka
authors: Sebastian
authors: S
authors: Kwiatkowski
authors: Wojciech
authors: W
authors: Błogowski
authors: Rafał
authors: R
authors: Rzepka
authors: Ryszard
authors: R
authors: Czajka
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D010535:Laparoscopy / Q000009:adverse effects*; D009214:Myoma / Q000601:surgery*; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000601:surgery*; D011262:Pregnancy Trimester, Second; D014463:Ultrasonography; D063186:Uterine Myomectomy / Q000009:adverse effects*; D014594:Uterine Neoplasms / Q000601:surgery*; D014597:Uterine Rupture / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology*