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Uterine rupture in a nulliparous woman at 26 weeks’ gestation after laparoscopic myomectomy

Tasneem Rangwala, Abeer Ammar, Nadia Sawalhi
Published in : HAMDAN MEDICAL JOURNAL ; Vol 6, No 2 (2013)
DOI : 10.7707/hmj.v6i2.253

Abstract


Uterine scar dehiscence following laparoscopic myomectomy is very rare. We present a case of a nulliparous woman who was pregnant with twins and who had undergone laparoscopic excision of a small subserous myoma 2 years previously. The patient had subsequently developed a uterine rupture at 26 weeks’ gestation; however, this was not initially suspected as the cause of the patient’s abdominal pain owing to the rarity of this event. All pregnant patients who have a history of laparoscopic myomectomy, superficial or deep, should be closely monitored throughout pregnancy and uterine dehiscence or rupture should be suspected if they present with abdominal pain.

 


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