Author/Authors :
Kiseli، Mine نويسنده Department of Obstetrics and Gynecology, Faculty of Medicine, University of Ufuk, Ankara, Turkey , , Artas، Hakan نويسنده Department of Radiology, Elaz?g Training and Research Hospital, Elaz?g, Turkey , , Armagan، Figen نويسنده Department of Obstetrics and Gynecology, Elaz?g Training and Research Hospital, Elaz?g, Turkey , , Dogan، Zeynep نويسنده Department of Obstetrics and Gynecology, Elaz?g Training and Research Hospital, Elaz?g, Turkey ,
Abstract :
Uterine rupture is a life threatening condition for both the mother and her fetus. It
may be seen in the second trimester usually after induction for pregnancy termination
in a scarred uterus. Spontaneous rupture in the second trimester before labor is a
very
rare condition. Here, we report a case of uterine rupture at 23-week pregnancy
due
to elevated uterine pressure with a history of laparoscopic myomectomy one
year
before admission. She was symptomatic for diffuse
abdominal pain and the ultrasonographic
image was interpreted as amniotic band. Four days later,
because of
deterioration
of the
patient and
fetal
bradycardia
urgent
laparotomy
was performed.
Fundal
rupture
with
fibrotic
borders
suggested
that
a
chronic
event
was
seen.
Laparoscopic
myomectomy has advantages over laparatomy but the possibility of uterine
rupture
in
following
pregnancies
should
not
be
underestimated.
Therefore,
repair
of
the
myometrium
should
be
carefully
assessed.
