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Hwang, Kim, and Jun: Spontaneous uterine rupture during early labor in term pregnancy after laparoscopic radiofrequency myolysis
Case Report
Korean Journal of Obstetrics and Gynecology

Korean Journal of Obstetrics and Gynecology 2010; 53(8): 732-736.

Published online: 19 August 2010

DOI: https://doi.org/10.5468/kjog.2010.53.8.732

Spontaneous uterine rupture during early labor in term pregnancy after laparoscopic radiofrequency myolysis

Eun Ju Hwang, M.D., Sun Min Kim, M.D., Jong Kwan Jun, M.D.

Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea.

Corresponding author (jhs0927@snu.ac.kr)

Received 31 May 2010       Accepted 9 June 2010

Copyright © 2010 Korean Society of Obstetrics and Gynecology

Abstract

Spontaneous uterine rupture is a rare occurrence, but a catastrophic obstetric complication, associated with high rates of maternal and perinatal morbidity and mortality. Clinicians should make a prompt diagnosis and management in patients presenting with acute abdominal pain, hypovolemic shock, and fetal compromise. We present a case of spontaneous complete rupture of uterus during early labor in term pregnancy after laparoscopic radiofrequency myolysis.

Keywords: Uterine rupture, Myolysis, Term pregnancy

Figures and Tables

Fig. 1
Amniotic sac and hematoma that was exposed directly after entering abdominal cavity.
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Fig. 2
Placenta located in posterior cul-de-sac.
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Fig. 3
Longitudinal uterine rupture with an empty uterine cavity.
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Fig. 4
Operative findings showing repaired uterus.
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