Two pregnancy cases of uterine scar dehiscence after laparoscopic myomectomy.
10.5468/ogs.2015.58.6.518
- Author:
Soo Youn SONG
1
;
Hee Jun YOO
;
Byung Hun KANG
;
Young Bok KO
;
Ki Hwan LEE
;
Mina LEE
Author Information
1. Department of Obstetrics and Gynecology, Chungnam National University Hospital, Daejeon, Korea.
- Publication Type:Case Report
- Keywords:
Surgical scar dehiscence;
Uterine myomectomy;
Uterine rupture
- MeSH:
Abdominal Pain;
Cesarean Section;
Cicatrix*;
Emergencies;
Female;
Fertilization;
Humans;
Leg;
Pregnancy*;
Premature Birth;
Uterine Myomectomy;
Uterine Rupture
- From:Obstetrics & Gynecology Science
2015;58(6):518-521
- CountryRepublic of Korea
- Language:English
-
Abstract:
Uterine scar dehiscence following laparoscopic myomectomy rarely occurs but can compromise both maternal and fetal well-being in subsequent pregnancy. We here present two cases of pregnancy complicated by preterm birth that resulted from uterine scar dehiscence following laparoscopic myomectomy. First case was a nulligravida who had scar dehiscence at 26 weeks of gestation after having a laparoscopic myomectomy 3 months prior to conception. Two weeks later, we observed her fetal leg protruding through the defect. The other case was a primigravida with a history of prior cesarean delivery, whose sonography revealed myomectomy scar dehiscence at 31 weeks of gestation. Within a few hours after observing, the patient complained of abdominal pain that was aggravating as fetal leg protruded through the defect. In both cases, babies were born by emergency cesarean section. Conservative management can be one of treatment options for myomectomy scar dehiscence in preterm pregnancy. However, clinicians should always be aware of the possibility of obstetric emergencies.
