Perinatology.  2020 Dec;31(4):226-230. 10.14734/PN.2020.31.4.226.

Fetal Entrapment in the Myometrium Caused by Ectopic Implantation Post Myomectomy

Affiliations
  • 1Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
  • 2Department of Obstetrics and Gynecology, Chung-Ang University Hospital, Chung-Ang University School of Medicine, Seoul, Korea
  • 3Department of Pathology and Translational Genomics, Sungkyunkwan University School of Medicine, Seoul, Korea
  • 4Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

Abstract

Fetal entrapment in myometrial dehiscence after myomectomy has been rarely reported. A 38-yearold woman, gravida 4, parity 2, with suspected amniotic or adhesion band was referred to our hos pital at 234/7 weeks. She had undergone open myomectomy and cesarean delivery twice. Ultraso nography revealed two separate compartments divided by a septum-like structure with a small orifice. Magnetic resonance imaging (MRI) finding suggested an ectopic implantation on the en dometric and myometrial dehiscence. At 25 weeks, the thoracic cage and umbilical cord escaped through the orifice. Emergent cesarean delivery and subtotal hysterectomy were performed for the placental increta at the myometrial dehiscent site. In fetal entrapment in myometrial dehiscence, MRI is valuable for the assessment of the fetus and spatial arrangement in the uterine cavity.

Keyword

Dehiscence; Entrapment; Fetal; Myomectomy; Uterus
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