title: Iatrogenic Uterine Diverticulum in Pregnancy After Robotic-assisted Myomectomy.
abstract: Uterine diverticula are rare outpouchings of the uterus associated with abnormal uterine bleeding, pelvic pain, dysmenorrhea, and adverse obstetric events. At the time of cesarean delivery at 36 5/7 weeks' gestation during the patient's first pregnancy and 36 6/7 weeks during the second pregnancy, a fundal iatrogenic uterine diverticulum at the site of a prior robotic-assisted myomectomy was noted. The outpouching communicated with the endometrial cavity and was extremely attenuated, palpably 2 to 3 mm thick. Further research is needed to determine the incidence of iatrogenic uterine diverticulum after robotic myomectomy and whether these malformations increase the risk of adverse obstetric outcomes.
authors.affiliation: Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, Maryland. Electronic address: cdestep1@jhmi.edu.
authors.forename: Christopher C
authors.initials: CC
authors.lastname: DeStephano
authors.affiliation: Division of Gynecology Oncology, Department of OB/GYN, Cleveland Clinic, Cleveland, Ohio.
authors.forename: Amelia M
authors.initials: AM
authors.lastname: Jernigan
authors.affiliation: Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, Maryland.
authors.forename: Linda M
authors.initials: LM
authors.lastname: Szymanski
mesh_terms: D000328:Adult; D002585:Cesarean Section; D004240:Diverticulum / Q000209:etiology / Q000473:pathology*; D005260:Female; D005865:Gestational Age; D006801:Humans; D007049:Iatrogenic Disease; D011247:Pregnancy; D011256:Pregnancy Outcome; D012371:Robotics; D063186:Uterine Myomectomy / Q000009:adverse effects*; D014599:Uterus / Q000473:pathology* / Q000601:surgery
keywords: Obstetric outcome; Pregnancy; Robotic myomectomy; Uterine diverticulum