Document Detail

Spontaneous uterine rupture of a twin pregnancy after a laparoscopic adenomyomectomy: a case report.
MedLine Citation:
PMID:  16527723     Owner:  NLM     Status:  MEDLINE    
Adenomyomectomy is a treatment option to preserve fertility and reduce symptoms associated with adenomyosis. Although this procedure is reasonably expected to increase the risk of uterine rupture during pregnancy, reports on this issue are scarce. We recently encountered a 33-year-old nulliparous woman with a twin pregnancy who experienced a spontaneous uterine rupture at 30 weeks' gestation. This patient was the first to conceive after undergoing laparoscopic adenomyomectomy at our institution. Her pregnancy was established with in vitro fertilization-embryo transfer 12 months after laparoscopic adenomyomectomy. The uterine rupture was heralded by a sudden onset of severe abdominal pain while she was receiving intravenous ritodrine. This case reinforces that pregnancy after adenomyomectomy should be closely monitored with respect to uterine rupture.
Shin-ichiro Wada; Masataka Kudo; Hisanori Minakami
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of minimally invasive gynecology     Volume:  13     ISSN:  1553-4650     ISO Abbreviation:  -     Publication Date:    2006 Mar-Apr
Date Detail:
Created Date:  2006-03-10     Completed Date:  2006-07-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101235322     Medline TA:  J Minim Invasive Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  166-8     Citation Subset:  IM    
Department of Obstetrics and Gynecology, School of Medicine, Hokkaido University, Sapporo, Japan.
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MeSH Terms
Cesarean Section
Endometriosis / diagnosis,  surgery*
Fertilization in Vitro
Follow-Up Studies
Laparoscopy / adverse effects*,  methods
Magnetic Resonance Imaging
Pregnancy Complications / diagnosis,  etiology*,  surgery
Pregnancy Outcome
Pregnancy Trimester, Third
Pregnancy, Multiple
Risk Assessment
Rupture, Spontaneous / diagnosis,  etiology,  surgery
Uterine Diseases / diagnosis,  surgery*
Uterine Rupture / diagnosis,  etiology*,  surgery

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