Logo American Journal of Case Reports

Call: 1.631.629.4328
Mon-Fri 10 am - 2 pm EST

Contact Us

Logo American Journal of Case Reports Logo American Journal of Case Reports Logo American Journal of Case Reports

19 August 2011

Total uterine rupture during pregnancy after an adenomyomectomy

Shingo Ukita, Masafumi Koshiyama, Ayaka Yamaguchi, Masashi Ueda, Masayo Ukita, Kenji Hishikawa, Kazuyo Kakui, Tomoko Kim

DOI: 10.12659/AJCR.881914

Am J Case Rep 2011; 12:106-109

Abstract

Abstract
Background: Adenomyomectomy and myomectomy are treatment options to reduce dysmenorrhea and to preserve fertility. Recently, the number of adenomyomectomies and myomectomies performed has gradually increased. On the other hand, an increased risk of uterine rupture during pregnancy is associated with the thinned uterine scar after these surgeries.
Case Report: We encountered a 39-year-old nulliparous woman who experienced a spontaneous uterine rupture at an early stage of the 29th week of gestation after an adenomyomectomy. The adenomyomectomy method created a deep and wide wedge-shaped excision. Pathologically, the main reason for the rupture was thought to be the uterine scar with the residual adenomyotic fragments, which was very vulnerable to pregnant decidualization and thus ruptured.
Conclusions: It should be emphasized that a woman who becomes pregnant after undergoing an adenomyomectomy needs very careful management throughout all gestational periods.

Keywords: Pregnancy, Uterine Rupture, adenomyomectomy, decidualization

Add Comment 0 Comments

1453 5

In Press

28 Sep 2023 : Case report  Japan

Idiopathic Dilated Cardiomyopathy, Cardiac Failure, and Global Cerebral Atrophy Due to Reduced Cerebral Art...

Am J Case Rep In Press; DOI: 10.12659/AJCR.940892  

28 Sep 2023 : Case report  Japan

Lifetime Follow-Up of a Patient with Metastatic Prostate Cancer Undergoing Multiple Surgical Resections: A ...

Am J Case Rep In Press; DOI: 10.12659/AJCR.941668  

28 Sep 2023 : Case report  Japan

A 51-Year-Old Woman with Advanced Breast Cancer and a 2-Week History of Nausea and Vomiting Due to Neuromye...

Am J Case Rep In Press; DOI: 10.12659/AJCR.941808  

28 Sep 2023 : Case report  Greece

Surgical Treatment of a Neglected Thumb Volar Plate Injury in an 11-Year-Old Girl: A Case Report

Am J Case Rep In Press; DOI: 10.12659/AJCR.940411  

Most Viewed Current Articles

06 Dec 2021 : Case report  Brazil

Lipedema Can Be Treated Non-Surgically: A Report of 5 Cases

DOI :10.12659/AJCR.934406

Am J Case Rep 2021; 22:e934406

07 Dec 2021 : Case report  USA

Edwardsiella tarda: A Classic Presentation of a Rare Fatal Infection, with Possible New Background Risk Fac...

DOI :10.12659/AJCR.934347

Am J Case Rep 2021; 22:e934347

13 Jul 2022 : Case report  USA

Whistling Scrotum: An Unusual Presentation of Pneumomediastinum in the Setting of an Open Scrotal Wound

DOI :10.12659/AJCR.936441

Am J Case Rep 2022; 23:e936441

23 Feb 2022 : Case report  USA

Penile Necrosis Associated with Local Intravenous Injection of Cocaine

DOI :10.12659/AJCR.935250

Am J Case Rep 2022; 23:e935250

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923