Second-trimester spontaneous uterine rupture after laparoscopic electromyolysis in nulligravida: A case report
Spontaneous rupture of gravid uterus is a rare catastrophic obstetrical emergency that puts the life of both mother and fetus at stake. Laparoscopic uterine surgery is one factor sharing increasingly in occurrence of such deadly condition. Treatment of uterine myoma using laparoscopic electromyolysi...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2017-03-01
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| Series: | Middle East Fertility Society Journal |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S111056901630053X |
| _version_ | 1818669350211551232 |
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| author | Ahmed M. Abbas Amera M. Sheha Mohamed K. Ali Shymaa S. Ali Neima Z. Salem Esraa Talaat Alshimaa Hassan |
| author_facet | Ahmed M. Abbas Amera M. Sheha Mohamed K. Ali Shymaa S. Ali Neima Z. Salem Esraa Talaat Alshimaa Hassan |
| author_sort | Ahmed M. Abbas |
| collection | DOAJ |
| description | Spontaneous rupture of gravid uterus is a rare catastrophic obstetrical emergency that puts the life of both mother and fetus at stake. Laparoscopic uterine surgery is one factor sharing increasingly in occurrence of such deadly condition. Treatment of uterine myoma using laparoscopic electromyolysis is one of the conservative surgical techniques reported and used successfully since last decade. However, there is conflicting evidence about pregnancy outcome after its usage. Here, we report a case of rupture gravid uterus at 22 weeks of gestation in a 23 years old nulliparous woman after previous history of laparoscopic myolysis. The patient was managed immediately with repair of the defect through urgent exploratory laparotomy. Laparoscopic myomectomy is the preferred management option for uterine myoma especially in fertility desired patients. Electromyolysis is a procedure that is not frequently performed nowadays and should be cautiously used if at all due to its serious consequences on the fertility potential. |
| first_indexed | 2024-12-17T06:50:49Z |
| format | Article |
| id | doaj.art-80cc4b91df3a4505b0a713314626bf10 |
| institution | Directory Open Access Journal |
| issn | 1110-5690 |
| language | English |
| last_indexed | 2024-12-17T06:50:49Z |
| publishDate | 2017-03-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Middle East Fertility Society Journal |
| spelling | doaj.art-80cc4b91df3a4505b0a713314626bf102022-12-21T21:59:36ZengSpringerOpenMiddle East Fertility Society Journal1110-56902017-03-01221737610.1016/j.mefs.2016.08.003Second-trimester spontaneous uterine rupture after laparoscopic electromyolysis in nulligravida: A case reportAhmed M. Abbas0Amera M. Sheha1Mohamed K. Ali2Shymaa S. Ali3Neima Z. Salem4Esraa Talaat5Alshimaa Hassan6Department of Obstetrics and Gynecology, Faculty of Medicine, Assiut University, EgyptAssiut University Hospital, Faculty of Medicine, Assiut University, EgyptDepartment of Obstetrics and Gynecology, Faculty of Medicine, Assiut University, EgyptDepartment of Obstetrics and Gynecology, Faculty of Medicine, Assiut University, EgyptDepartment of Obstetrics and Gynecology, Faculty of Medicine, Assiut University, EgyptAssiut University Hospital, Faculty of Medicine, Assiut University, EgyptAssiut University Hospital, Faculty of Medicine, Assiut University, EgyptSpontaneous rupture of gravid uterus is a rare catastrophic obstetrical emergency that puts the life of both mother and fetus at stake. Laparoscopic uterine surgery is one factor sharing increasingly in occurrence of such deadly condition. Treatment of uterine myoma using laparoscopic electromyolysis is one of the conservative surgical techniques reported and used successfully since last decade. However, there is conflicting evidence about pregnancy outcome after its usage. Here, we report a case of rupture gravid uterus at 22 weeks of gestation in a 23 years old nulliparous woman after previous history of laparoscopic myolysis. The patient was managed immediately with repair of the defect through urgent exploratory laparotomy. Laparoscopic myomectomy is the preferred management option for uterine myoma especially in fertility desired patients. Electromyolysis is a procedure that is not frequently performed nowadays and should be cautiously used if at all due to its serious consequences on the fertility potential.http://www.sciencedirect.com/science/article/pii/S111056901630053XRupture uterusFibroidsElectromyolysisMaternal morbidityUterine myomas |
| spellingShingle | Ahmed M. Abbas Amera M. Sheha Mohamed K. Ali Shymaa S. Ali Neima Z. Salem Esraa Talaat Alshimaa Hassan Second-trimester spontaneous uterine rupture after laparoscopic electromyolysis in nulligravida: A case report Middle East Fertility Society Journal Rupture uterus Fibroids Electromyolysis Maternal morbidity Uterine myomas |
| title | Second-trimester spontaneous uterine rupture after laparoscopic electromyolysis in nulligravida: A case report |
| title_full | Second-trimester spontaneous uterine rupture after laparoscopic electromyolysis in nulligravida: A case report |
| title_fullStr | Second-trimester spontaneous uterine rupture after laparoscopic electromyolysis in nulligravida: A case report |
| title_full_unstemmed | Second-trimester spontaneous uterine rupture after laparoscopic electromyolysis in nulligravida: A case report |
| title_short | Second-trimester spontaneous uterine rupture after laparoscopic electromyolysis in nulligravida: A case report |
| title_sort | second trimester spontaneous uterine rupture after laparoscopic electromyolysis in nulligravida a case report |
| topic | Rupture uterus Fibroids Electromyolysis Maternal morbidity Uterine myomas |
| url | http://www.sciencedirect.com/science/article/pii/S111056901630053X |
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