Spontaneous uterine rupture at 22 weeks' gestation in a multipara with previous hysteroscopic resection of fibroid
Open Access
- 18 January 2012
- journal article
- case report
- Published by BMJ in BMJ Case Reports
- Vol. 2012 (jan18 1)
- https://doi.org/10.1136/bcr.11.2011.5129
Abstract
A 34-year-old multiparous woman presented at 22+6 weeks’ gestation with severe abdominal pain which preceded a mechanical fall down the stairs. On admission, fetal movements were felt and fetal heart rate was detected by Doppler ultrasound. Over the course of 12 h, although she maintained her vital signs, repeat laboratory and radiological investigations suggested sinister intra-abdominal pathology. Subsequently, fetal movements and heart rate ceased and the patient began to decompensate. A CT scan confirmed uterine rupture. Subsequent emergency laparotomy revealed a 2 l haemoperitoneum and lifeless fetoplacental unit in the abdominal cavity. It is postulated that this rupture occurred as a rare yet life-threatening complication of a hysteroscopic resection of fibroid that the patient underwent 1 year previously. There are no known published cases of a spontaneous uterine rupture following a hysteroscopic procedure at such an early gestation. The patient made a full physical recovery.Keywords
This publication has 9 references indexed in Scilit:
- Risk Factors for Uterine Rupture after Laparoscopic MyomectomyJournal of Minimally Invasive Gynecology, 2010
- Hysteroscopic myomectomy: a comprehensive review of surgical techniquesHuman Reproduction Update, 2007
- Rupture utérine obstétricale après hystéroscopie opératoireGynécologie Obstétrique & Fertilité, 2006
- Spontaneous uterine rupture at 35 weeks’ gestation, 3 years after laparoscopic myomectomy, without signs of fetal distressJournal of Obstetrics and Gynaecology Research, 2005
- Late complications of operative hysteroscopy: predicting patients at risk of uterine rupture during subsequent pregnancyEuropean Journal of Obstetrics & Gynecology and Reproductive Biology, 2005
- Uterine rupture at term after uncomplicated hysteroscopic metroplastyObstetrics & Gynecology, 2002
- Spontaneous uterine rupture in the early third trimester after laparoscopically assisted myomectomy. A case report.2000
- Uterine rupture at 33 weeks' gestation subsequent to hysteroscopic uterine perforationAmerican Journal of Obstetrics and Gynecology, 1994
- The long-term effectiveness of hysteroscopic treatment of menorrhagia and leiomyomas.1991