Please wait a minute...
Clinical and Experimental Obstetrics & Gynecology  2018, Vol. 45 Issue (4): 605-607    DOI: 10.12891/ceog4061.2018
Case Report Previous articles | Next articles
Is it possible to early diagnose uterine rupture by ultrasound without common clinical signs during pregnancy following laparoscopic myomectomy?
Sun Young Jung1, Suk Young Kim1, *()
1 Department of Obstetrics and Gynecology, Gachon University Gil Medical Center, Incheon, South Korea
Download:  PDF
Export:  BibTeX | EndNote (RIS)      
Abstract  
Although spontaneous uterine rupture following laparoscopic myomectomy is rare, it can lead to life-threatening complications for both mother and fetus. The authors report a case of a nulliparous woman at gestation of 30 weeks and four days who was referred from local clinic because of diffused abdominal pain. She conceived spontaneously 1.8 years after myomectomy. The fetal heart pattern was reassuring, there were no regular uterine contractions or vaginal bleeding, and her vital signs were stable. A critical clue to diagnosis of uterine rupture was an abrupt defect of uterine wall without fluid or fetal part in pelvic cavity on ultrasound. An emergency cesarean section was performed, uterine rupture was found, and the neonate was delivered in good condition. For timely surgical intervention to yield a favorable outcome, evaluation of myometrium continuity by ultrasound is valuable in pregnancy following laparoscopic myomectomy in the absence of typical clinical signs.
Key words:  Pregnancy      Uterine rupture      Ultrasonography      Laparoscopy      Uterine myomectomy     
Published:  10 August 2018     
*Corresponding Author(s):  SUK-YOUNG KIM     E-mail:  ksyob@gilhospital.com

Cite this article: 

Sun Young Jung, Suk Young Kim. Is it possible to early diagnose uterine rupture by ultrasound without common clinical signs during pregnancy following laparoscopic myomectomy?. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(4): 605-607.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog4061.2018     OR     https://ceog.imrpress.com/EN/Y2018/V45/I4/605

[1] Amanda M. Wang, Alan J. Lee, Shannon M. Clark. The effects of overweight and obesity on pregnancy-related morbidity[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(5): 999-1009.
[2] Leen Van den Eeden, Greet Leysens,Dominique Mannaerts, Yves Jacquemyn. Air pollution: cardiovascular and other negative effects on pregnancy: a narrative review[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(5): 1010-1016.
[3] Xin Du, Qian Zou, Yu-Lan Liu. Transumbilical single-hole laparoscopic treatment of cesarean scar pregnancy by uterine artery pre-ligation: a report of 4 cases[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(5): 1044-1047.
[4] Marcelo Epsztein Kanczuk, Nicholas J Lightfoot, Alison Pighills, Antony Ji, Casey Steele, Daniel Bartlett. The time to perform spinal or general anaesthesia in COVID-19 positive parturients requiring emergency caesarean delivery: a prospective crossover simulation study[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(5): 1099-1106.
[5] Noor Hazim Abdulkareem, Elham Hazeim Abdulkareem. SARS-CoV-2 detection in pregnant and non-pregnant women[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(5): 1141-1145.
[6] Min Jung Kim, Hee-Sook Lim, Hae-Hyeog Lee, Tae-Hee Kim, Yongsoon Park. Dietary assessment, nutrition knowledge, and pregnancy outcome in high-risk pregnant Korean women[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(5): 1178-1185.
[7] Anjeza Xholli, Anna Biasioli, Giovanni Grandi, Angelo Cagnacci. Dienogest-based hormonal contraception induced changes in the ultrasound presentation of the uterus and menstrual pain[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(5): 1186-1192.
[8] Ranit Hizkiyahu, Shannon Salvador, Michael H. Dahan. Ovarian stimulation for fertility preservation in a woman with borderline serous ovarian tumor causing a large fluctuating subcutaneous fluid collection: a case report[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(5): 1215-1218.
[9] Neha Sethi, Ann Gee Tan, Maherah Kamarudin, Sofiah Sulaiman. Successful delivery of a twin pregnancy with complete hydatidiform mole and coexistent live fetus: a case report and review of literature[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(5): 1232-1247.
[10] Luca Roncati, Greta Gianotti, Elisa Ambrogi, Giovanna Attolini. COVID-19 in pregnancy[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(4): 778-780.
[11] Silvia Amodeo, Giulia Bonavina, Anna Seidenari, Paolo Ivo Cavoretto, Antonio Farina. Real-world implementation and adaptation to local settings of first trimester preeclampsia screening in Italy: a systematic review[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(4): 812-819.
[12] Yu Deng, Zhan-Hui Ou, Min-Na Yin, Pei-Ling Liang, Zhi-Heng Chen, Abraham Morse, Ling Sun. Age and anti-Műllerian hormone: prediction of cumulative pregnancy outcome in in vitro fertilization with diminished ovarian reserve[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(4): 835-841.
[13] Üzeyir Kalkan, Murat Yassa, Kadir Bakay, Şafak Hatırnaz. Mechanical bowel preparation prior to gynaecological laparoscopy enables better operative field visualization, lower pneumoperitoneum pressure and Trendelenburg angle during the surgery: a perspective that may add to patient safety[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(4): 842-850.
[14] Serdar Balci. The effect of ultraviolet index measurements on levels of vitamin D andinflammatory markers in pregnant women[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(4): 888-892.
[15] Anna M. Rubinshtein, Oleg V. Golyanovskiy. Obstetric outcomes in women of advanced maternal age after assisted reproduction[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(4): 893-900.
No Suggested Reading articles found!