Korean J Perinatol.  2015 Dec;26(4):373-376. 10.14734/kjp.2015.26.4.373.

Spontaneous Uterine Rupture during Second Trimester Pregnancy after High-intensity Focused Ultrasound

• Kang YD
• Park CH

• KMID: 2164197
• DOI: http://doi.org/10.14734/kjp.2015.26.4.373

Abstract

Uterine rupture during pregnancy does not occur frequently, but is associated with high rates of maternal and perinatal morbidity and mortality. As a non-invasive and conservative approach, high-intensity focused ultrasound (HIFU) has received attention from both gynecologists and patients for the treatment of fibroids, especially women who wish to preserve uterus. However, there are not enough studies about complication and prognosis related pregnancy after HIFU. We present a case of uterine rupture that occurred in second trimester who had been HIFU 3months before pregnancy.

Keyword

High-intensity focused ultrasound; Pregnancy; Uterine rupture

MeSH Terms

Female
Humans
Leiomyoma
Mortality
Pregnancy
Pregnancy Trimester, Second*
Prognosis
Ultrasonography*
Uterine Rupture*
Uterus

Figure

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  Fig. 1. Hematoma was exposed directly after entering abdominal cavity.

• 

  Fig. 2. The uterus was ruptured and split up about 10 cm at anterior fundus.

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  Fig. 3. Operative findings showing repaired uterus.

Reference

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