Obstet Gynecol Sci.  2015 Nov;58(6):518-521. 10.5468/ogs.2015.58.6.518.

Two pregnancy cases of uterine scar dehiscence after laparoscopic myomectomy

Affiliations
  • 1Department of Obstetrics and Gynecology, Chungnam National University Hospital, Daejeon, Korea.
  • 2Department of Obstetrics and Gynecology, Chungnam National University School of Medicine, Daejeon, Korea. minari73@cnuh.co.kr

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.

Keyword

Surgical scar dehiscence; Uterine myomectomy; Uterine rupture

MeSH Terms

Abdominal Pain
Cesarean Section
Cicatrix*
Emergencies
Female
Fertilization
Humans
Leg
Pregnancy*
Premature Birth
Uterine Myomectomy
Uterine Rupture
Full Text Links
  • OGS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2022 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr