Uterine rupture at 10 weeks of gestation after laparoscopic myomectomy
Autor: | Yoshiyuki Okada, Takashi Mimura, Tomohiro Oba, Shinichiro Yoshikawa, Akihiko Sekizawa, Masamitsu Nakamura, Ryu Matsuoka, Tatsuya Arakaki, Yuka Yamashita, Junichi Hasegawa |
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Rok vydání: | 2015 |
Předmět: |
Adult
medicine.medical_specialty Abdominal pain medicine.medical_treatment Perforation (oil well) Uterus 03 medical and health sciences 0302 clinical medicine Postoperative Complications Uterine Rupture Pregnancy Laparotomy Uterine Myomectomy medicine Humans Radiology Nuclear Medicine and imaging 030212 general & internal medicine Laparoscopy Ultrasonography 030219 obstetrics & reproductive medicine medicine.diagnostic_test urogenital system business.industry Myometrium General Medicine medicine.disease Magnetic Resonance Imaging Uterine myomectomy Uterine rupture Surgery Abdominal Pain Pregnancy Complications Pregnancy Trimester First medicine.anatomical_structure Female medicine.symptom business |
Zdroj: | Journal of medical ultrasonics (2001). 43(1) |
ISSN: | 1613-2254 |
Popis: | The patient had a previous history of laparoscopic myomectomy. At 10 weeks of gestation, she visited our emergency center due to sudden abdominal pain. An ultrasound examination and MRI showed complete rupture of the uterine myometrium in the fundal wall and a floating gestation sac in Douglas' fossa with fluid. Emergency abdominal laparotomy was immediately performed due to the diagnosis of uterine rupture. During surgery, a small defect of the myometrium was found in the posterior fundal wall of the uterus. Two-layer suturing was performed at the perforation hole. The occasional occurrence of uterine rupture after surgery of the uterus even in the first trimester should be considered. |
Databáze: | OpenAIRE |
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