Silent uterine rupture occluded by intestinal adhesions following laparoscopic myomectomy: A case report

Autor: Tatsuya Arakaki, Tomohiro Oba, Riho Fukutani, Masamitsu Nakamura, Akihiko Sekizawa, Junichi Hasegawa
Rok vydání: 2017
Předmět:
Zdroj: Journal of Obstetrics and Gynaecology Research. 43:1209-1211
ISSN: 1341-8076
Popis: We present a rare asymptomatic case in which intestinal adhesions covered and occluded a site of uterine rupture, which was found during cesarean section. The patient had undergone laparoscopic myomectomy 5 years previously. However, detailed antenatal ultrasound and magnetic resonance imaging examinations revealed no uterine or placental abnormalities. It is thought that uterine rupture was not detected due to intestinal adhesions, which had occurred following the previous surgery. The present case suggests that women who conceive after laparoscopic myomectomy may be at risk of silent uterine rupture. However, detection of the silent uterine rupture during pregnancy may be limited, even with detailed imaging.
Databáze: OpenAIRE