Recurrent spontaneous third-trimester uterine rupture after hysteroscopic resection of myoma: a case report

[摘要] Uterine rupture is a catastrophic obstetrical emergency with serious effects on both women and fetuses. Operative hysteroscopic procedures can add more risk factor for occurrence of this tragedy. Here, we report a case of spontaneous recurrent rupture uterus at 33 weeks of gestation in a 32 years old woman with previous history of hysteroscopic resection of submucous myoma after development of acute abdomen. Uterine repair of fundal rupture was performed through emergency exploratory laparotomy. Surgeons should explain to their patients the hazards of probable risk of recurrent and multiple uterine rupture in the future pregnancy and to document this discussion in the medical records before proceeding to operative hysteroscopic procedures.

[学科分类] 妇产科学

[关键词] Uterine rupture;uterine myomectomy;pregnancy complications;hysteroscopy;maternal morbidity;myoma