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Silent uterine rupture occluded by intestinal adhesions following laparoscopic myomectomy: A case report
Author(s) -
Fukutani Riho,
Hasegawa Junichi,
Arakaki Tatsuya,
Oba Tomohiro,
Nakamura Masamitsu,
Sekizawa Akihiko
Publication year - 2017
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.13339
Subject(s) - medicine , uterine rupture , asymptomatic , magnetic resonance imaging , pregnancy , adhesion , laparoscopic surgery , uterine myomectomy , surgery , laparoscopy , uterus , obstetrics , radiology , gynecology , myoma , chemistry , genetics , organic chemistry , biology
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.