Pelosi M A, Pelosi M A
Pelosi Women's Medical Center and the Department of Obstetrics and Gynecology, Bayonne Hospital, New Jersey 07002, USA.
Am J Obstet Gynecol. 1997 Dec;177(6):1547-9. doi: 10.1016/s0002-9378(97)70110-8.
Obstetric uterine rupture has previously been reported after the laparoscopic removal of deep intramural myomas, but never has it been reported to follow the removal of superficial myomas. A 39-year-old primigravid woman with a history of a superficial subserous laparoscopic myomectomy was seen for acute abdominal symptoms at 33 weeks of gestation. Emergency cesarean laparotomy confirmed a spontaneous rupture of the uterine fundus with extrusion of the intact fetal sac into the upper abdomen. This is the first reported case of obstetric uterine rupture subsequent to the removal of a superficial myoma by laparoscopic techniques.
既往有腹腔镜下切除深部壁间肌瘤后发生产科子宫破裂的报道，但切除浅表肌瘤后发生子宫破裂的情况此前从未有过报道。一名39岁初孕妇，有浅表浆膜下腹腔镜肌瘤切除术史，在妊娠33周时因急性腹痛就诊。急诊剖宫产剖腹术证实子宫底自发破裂，完整的胎膜囊突入上腹部。这是首例报道的腹腔镜技术切除浅表肌瘤后发生的产科子宫破裂病例。
