title: Postmyomectomic Uterine Rupture Despite Cesarean Section.
abstract: Uterine fibroids (leiomyomas) are benign smooth muscle tumors of the uterus. Fibroids can develop anywhere within the muscular wall. Leiomyomas may be associated with infertility. Laparoscopic myomectomy is often used to remove symptomatic intramural or subserosal fibroids. Advantages of the procedure include short recovery time and minimal perioperative morbidity. At the same time, the multilayer suture technique is more complicated during laparoscopy. A rare but serious complication of laparoscopic myomectomies is uterine rupture. A brief review of the literature and a clinical example of a 33-year-old woman with history of infertility, laparoscopic myomectomies and uterine rupture followed by peripartum hemorrhage is presented. The treatment of leiomyomas is a challenge not only because of possible recurrence but also due to long-term consequences following successful myomectomy. Management of patients with uterine scars should include careful planning of the route of delivery, as the risk of rupture may be increased.
authors.affiliation: Students' Scientific Group affiliated to the Second Department of Obstetrics and Gynecology, Medical University of Warsaw, Warsaw, Poland asiakacperczyk@gmail.com.
authors.forename: Joanna
authors.initials: J
authors.lastname: Kacperczyk
authors.affiliation: Students' Scientific Group affiliated to the Second Department of Obstetrics and Gynecology, Medical University of Warsaw, Warsaw, Poland.
authors.forename: Paweł
authors.initials: P
authors.lastname: Bartnik
authors.affiliation: Second Department of Obstetrics and Gynecology, Medical University of Warsaw, Warsaw, Poland.
authors.forename: Ewa
authors.initials: E
authors.lastname: Romejko-Wolniewicz
authors.affiliation: Second Department of Obstetrics and Gynecology, Medical University of Warsaw, Warsaw, Poland.
authors.forename: Agnieszka
authors.initials: A
authors.lastname: Dobrowolska-Redo
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000209:etiology; D010535:Laparoscopy / Q000009:adverse effects; D007889:Leiomyoma / Q000601:surgery*; D006473:Postpartum Hemorrhage / Q000209:etiology*; D011247:Pregnancy; D016896:Treatment Outcome; D014597:Uterine Rupture / Q000209:etiology*
keywords: Leiomyoma; fertility; myomectomy; uterine rupture