Spontaneous Uterine Rupture during Second Trimester Pregnancy after High-intensity Focused Ultrasound

Yun Dan Kang; Choong Hak Park

doi:10.14734/kjp.2015.26.4.373

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Kang and Park: Spontaneous Uterine Rupture during Second Trimester Pregnancy after High-intensity Focused Ultrasound

Case Report

Korean J Perinatol 2015;26(4):373-376.

Published online: 20 December 2015

DOI: https://doi.org/10.14734/kjp.2015.26.4.373

Spontaneous Uterine Rupture during Second Trimester Pregnancy after High-intensity Focused Ultrasound

Yun Dan Kang, M.D., Choong Hak Park, M.D.

Department of Obstetrics and Gynecology, Dankook University College of Medicine, Cheonan, Korea

Correspondence to: Choong Hak Park, M.D. Department of Obstetrics and Gynecology, Dankook University College of Medicine, 119, Dandae-ro, Dongnam-gu, Cheonan-si, Chungnam 31116, Korea Tel: +82-41-550-3941, Fax: +82-41-556-3878 E-mail: pch10@dankook.ac.kr

Received 29 December 2015 Revised 26 November 2015 Accepted 10 December 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Uterine rupture during pregnancy does not occur frequently, but is associated with high rates of maternal and perinatal morbidity and mortality. As a non-invasive and conservative approach, high-intensity focused ultrasound (HIFU) has received attention from both gynecologists and patients for the treatment of fibroids, especially women who wish to preserve uterus. However, there are not enough studies about complication and prognosis related pregnancy after HIFU. We present a case of uterine rupture that occurred in second trimester who had been HIFU 3months before pregnancy.

Keywords: High-intensity focused ultrasound, Pregnancy, Uterine rupture

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Fig. 1.

Hematoma was exposed directly after entering abdominal cavity.

Fig. 2.

The uterus was ruptured and split up about 10 cm at anterior fundus.

Fig. 3.

Operative findings showing repaired uterus.

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