Uterine Rupture from Previous Myomectomy Scar

Shruti Haldar, Indrani Haldar
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Abstract

Uterine rupture in pregnancy is uncommon and often could be life-threatening and catastrophic. Myomectomy is one of the most common gynecological procedures and can be performed as vaginal, abdominal, and laparoscopic procedures. In the present case, a patient who was elderly primi at 33 weeks came with a complaint of diffuse pain abdomen in an emergency. She had a history of infertility 2 years back. During the surgery, uterus repair was done, and 4 units of packed cells and 2 units of fresh frozen plasma (FFP) were transfused. She was discharged in stable condition. Early diagnosis of uterine rupture after myomectomy can save the patient’s death.
子宫肌瘤切除术后瘢痕性子宫破裂
妊娠期子宫破裂并不常见,但往往会危及生命和造成灾难性后果。子宫肌瘤切除术是最常见的妇科手术之一,可以作为阴道、腹部和腹腔镜手术进行。在本病例中,一名33周的老年原发性患者在急诊中主诉弥漫性腹部疼痛。她两年前有不孕病史。术中行子宫修复术,输注填充细胞4单位、新鲜冷冻血浆2单位。她出院时情况稳定。子宫肌瘤切除术后子宫破裂的早期诊断可以挽救患者的生命。
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