Volume 14, Issue 7 (7-2016)                   IJRM 2016, 14(7): 483-486 | Back to browse issues page

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Pakniat H, Soofizadeh N, Beigom Khezri M. Spontaneous uterine rupture after abdominal myomectomy at the gestational age of 20 weeks in pregnancy: A case report. IJRM 2016; 14 (7) :483-486
URL: http://ijrm.ir/article-1-763-en.html
Spontaneous uterine rupture after abdominal myomectomy at the gestational age of 20 weeks in pregnancy: A case report
Hamideh Pakniat1 , Nasrin Soofizadeh2 , Marzieh Beigom Khezri * 3
1- Department of Obstetrics and Gynecology, Faculty of Medicine, Qazvin University of Medical Sciences, Qazvin, Iran
2- Department of Obstetrics and Gynecology, Faculty of Medicine, Kurdistan University of Medical Sciences, Kurdistan, Iran
3- Department of Anesthesiology, Faculty of Medicine, Qazvin University of Medical Sciences, Qazvin, Iran , mkhezri@qums.ac.ir
Abstract:   (2199 Views)
Background: Uterine rupture in pregnancy is rare and often could be life threatening and catastrophic. Myomectomy is one of very common surgeries in gynecology, performed as the vaginal, abdominal and laparoscopic surgeries. Pregnancies occured after abdominal and laparoscopic myomectomy are high risk for uterine rapture. 
Case: Patient was a 28 Years old female, pregnant woman at the 20 wks of gestational age with abdominal pain and a history of abdominal myomectomy 6 yrs ago. Uterus was ruptured and fetus in amniotic sac was found in abdominal cavity. 
Conclusion: Early diagnosis of uterine rupture after myomectomy can save patients from death.
Keywords: Myomectomy, Pregnancy, Uterine rupture.
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Type of Study: Original Article |
References
1. Gardeil F, Daly S, Turner MJ. Uterine rupture in pregnancy reviewed. Eur J Obstet Gynecol Reprod Biol 1994; 56: 107-110. [DOI:10.1016/0028-2243(94)90265-8]
2. Golan A, Sandbank O, Rubin A. Rupture of the pregnant uterus. Obstet Gynecol 1980; 56: 549-554.
3. Hockstein S. Spontaneous uterine rupture in the early third trimester after laparoscopically assisted myomectomy. A case report. J Reprod Med 2000; 45: 139-141.
4. Seracchioli R, Manuzzi L, Vianelli F, Gualerzi B, Savelli L, Paradisi R, et al. Obstetric and delivery outcome of pregnancies achieved after laparoscopic myomectomy. Fertil Steril 2006; 86: 159-165. [DOI:10.1016/j.fertnstert.2005.11.075]
5. Al-Ramahi M, Radi F, Qatawneh A, AlKazaleh F. Spontaneous Uterine Rupture at 16-week Gestation After Abdominal Myomectomy. J Med J 2009; 43: 351-354.
6. Cunningham FG, Leveno KJ, Bloom SL, Spong CY, Dashe JS, Hoffman BL, et al. Williams Obstetrics. 24th Ed. McGraw-Hill; 2014.
7. Garnet JD. Uterine rupture during pregnancy. An analysis of 133 patients. Obstet Gynecol 1964; 23: 898-905.
8. Kumakiri J, Takeuchi H, Itoh S, Kitade M, Kikuchi I, Shimanuki H, et al. Prospective evaluation for the feasibility and safety of vaginal birth after laparoscopic myomectomy. J Minim Invasive Gynecol 2008; 15: 420-424. [DOI:10.1016/j.jmig.2008.04.008]
9. Golan D, Aharoni A, Gonen R, Boss Y, Sharf M. Early spontaneous rupture of the post myomectomy gravid uterus. Int J Gynaecol Obstet 1990; 31: 167-170. [DOI:10.1016/0020-7292(90)90716-X]
10. Brown AB, Chamberlain R, Te Linde RW. Myomectomy. Am J Obstet Gynecol 1956; 71: 759-763. [DOI:10.1016/0002-9378(56)90570-1]
11. Sizzi O, Rossetti A, Malzoni M, Minelli L, La Grotta F, Soranna L. Italian multicenter study on complications of laparoscopic myomectomy. J Minim Invasive Gynecol 2007; 14: 453-462. [DOI:10.1016/j.jmig.2007.01.013]
12. Oktem O, Gokaslan H, Durmusoglu F. Spontaneous uterine rupture in pregnancy 8 years after laparoscopic myomectomy. J Am Assoc Gynecol Laparosc 2001; 8: 618-621. [DOI:10.1016/S1074-3804(13)60006-7]
13. Bujold E, Mehta SH, Bujold C, Gauthier RJ. Interdelivery interval and uterine rupture. Am J Obstet Gynecol 2002; 187: 1199-1202. [DOI:10.1067/mob.2002.127138]
14. Ravasia DJ, Brain PH, Pollard JK. Incidence of uterine rupture among women with mullerian duct anomalies who attempt vaginal birth after cesarean delivery. Am J Obstet Gynecol 1999; 181: 877-881. [DOI:10.1016/S0002-9378(99)70318-2]
15. Eden RD, Parker RT, Gall SA. Rupture of the pregnant uterus: a 53-year review. Obstet Gynecol 1986; 68: 671-674.
16. Bujold E, Gauthier RJ. Risk of uterine rupture associated with an interdelivery interval between 18 and 24 months. Obstet Gynecol 2010; 115: 1003-1006. [DOI:10.1097/AOG.0b013e3181d992fb]
17. Rozenberg P, Goffinet F, Philippe HJ, Nisand I. Thickness of the lower uterine segment: its influence in the management of patients with previous cesarean sections. Eur J Obstet Gynecol Reprod Biol 1999; 87: 39-45. [DOI:10.1016/S0301-2115(99)00069-X]
18. Gotoh H, Masuzaki H, Yoshida A, Yoshimura S, Miyamura T, Ishimaru T. Predicting incomplete uterine rupture with vaginal sonography during the late second trimester in women with prior cesarean. Obstet Gynecol 2000; 95: 596-600.
19. Menihan CA. Uterine rupture in women attempting a vaginal birth following prior cesarean birth. J Perinatol 1998; 18: 440-443.
20. Leung AS, Leung EK, Paul RH. Uterine rupture after previous cesarean delivery: maternal and fetal consequences. Am J Obstet Gynecol 1993; 169: 945-950. [DOI:10.1016/0002-9378(93)90032-E]
21. Landon MB, Hauth JC, Leveno KJ, Spong CY, Leindecker S, Varner MW, et al. Maternal and perinatal outcomes associated with a trial of labor after prior cesarean delivery. N Engl J Med 2004; 351: 2581-2589. [DOI:10.1056/NEJMoa040405]
22. Blanchette H, Blanchette M, McCabe J, Vincent S. Is vaginal birth after cesarean safe? Experience at a community hospital. Am J Obstet Gynecol 2001; 184: 1478-1484. [DOI:10.1067/mob.2001.114852]
23. Yap OW, Kim ES, Laros RK Jr. Maternal and neonatal outcomes after uterine rupture in labor. Am J Obstet Gynecol 2001; 184: 1576-1581. [DOI:10.1067/mob.2001.114855]
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