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Volume 48
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Medicina is published by MDPI from Volume 54 Issue 1 (2018). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
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Case Report

Uterine Rupture in the Second Trimester of Pregnancy as an Iatrogenic Complication of Laparoscopic Myomectomy

by
Andrzej Torbé
*,
Wioletta Mikołajek-Bedner
,
Wojciech Kałużyński
,
Danuta Gutowska-Czajka
,
Sebastian Kwiatkowski
,
Wojciech Błogowski
,
Rafał Rzepka
and
Ryszard Czajka
Department of Obstetrics and Gynecology, Pomeranian Medical University, Szczecin, Poland
*
Author to whom correspondence should be addressed.
Medicina 2012, 48(4), 26; https://doi.org/10.3390/medicina48040026
Submission received: 6 July 2011 / Accepted: 2 April 2012 / Published: 7 April 2012
Versions Notes

Abstract

Uterine rupture is one of the most dangerous obstetric emergencies carrying a high risk for the mother and the fetus. Reports about uterine rupture in pregnancy following previous laparoscopic surgery have not been frequent; however, an increasing rate of the occurrence of this complication has been observed and reviewed in contemporary literature. We report a case of a spontaneous uterine rupture at 22 weeks of gestation in a 25-year old primigravida, who had had a laparoscopic removal of a small, peduncular, asymptomatic myoma located in the right uterine horn 20 months earlier. Ultrasound examination and subsequent urgent laparotomy confirmed a spontaneous uterine rupture with a nonviable fetus in the peritoneal cavity. Women planning to become pregnant should be qualified for laparoscopic myomectomy with special carefulness. Special attention must be paid to the potential solutions that limit the risk of postoperative uterine rupture, if the absolute necessity for the enucleation of myomas during the reproductive age occurs and a decision about laparoscopic intervention is made.
Keywords: laparoscopic myomectomy; myoma; pregnancy; uterine rupture laparoscopic myomectomy; myoma; pregnancy; uterine rupture

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MDPI and ACS Style

Torbé, A.; Mikołajek-Bedner, W.; Kałużyński, W.; Gutowska-Czajka, D.; Kwiatkowski, S.; Błogowski, W.; Rzepka, R.; Czajka, R. Uterine Rupture in the Second Trimester of Pregnancy as an Iatrogenic Complication of Laparoscopic Myomectomy. Medicina 2012, 48, 26. https://doi.org/10.3390/medicina48040026

AMA Style

Torbé A, Mikołajek-Bedner W, Kałużyński W, Gutowska-Czajka D, Kwiatkowski S, Błogowski W, Rzepka R, Czajka R. Uterine Rupture in the Second Trimester of Pregnancy as an Iatrogenic Complication of Laparoscopic Myomectomy. Medicina. 2012; 48(4):26. https://doi.org/10.3390/medicina48040026

Chicago/Turabian Style

Torbé, Andrzej, Wioletta Mikołajek-Bedner, Wojciech Kałużyński, Danuta Gutowska-Czajka, Sebastian Kwiatkowski, Wojciech Błogowski, Rafał Rzepka, and Ryszard Czajka. 2012. "Uterine Rupture in the Second Trimester of Pregnancy as an Iatrogenic Complication of Laparoscopic Myomectomy" Medicina 48, no. 4: 26. https://doi.org/10.3390/medicina48040026

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