Goynumer Gokhan, Teksen Ahmet, Durukan Birol, Wetherilt Lale
Goztepe Education and Research Hospital, Istanbul, Turkey.
J Obstet Gynaecol Res. 2009 Dec;35(6):1132-5. doi: 10.1111/j.1447-0756.2009.01070.x.
Uterine rupture is one of the most feared obstetric complications, carrying an increased risk of maternal and perinatal morbidity and mortality. Here, we present a case of spontaneous uterine rupture during the first half of pregnancy. The patient did not report any recent trauma, however she had a history of laparoscopic myomectomy conducted three years earlier. The uterine rupture was 6-7 cm in length, located at the fundal level and was thought to originate from the previous myomectomy scar. In this report, we discuss the importance of choosing the right surgical technique and suturing method in patients undergoing myomectomy who desire to conceive in the future, and how obscure the findings of uterine rupture during pregnancy can be.
子宫破裂是最令人恐惧的产科并发症之一，会增加孕产妇和围产儿发病及死亡风险。在此，我们报告一例妊娠前半期自发性子宫破裂病例。患者近期未报告任何外伤史，但其三年前曾接受腹腔镜子宫肌瘤切除术。子宫破裂长度为6 - 7厘米，位于子宫底部，据认为源于既往子宫肌瘤切除瘢痕。在本报告中，我们讨论了对于未来有生育意愿且接受子宫肌瘤切除术的患者选择正确手术技术和缝合方法的重要性，以及妊娠期间子宫破裂的表现可能有多隐匿。
