Spontaneous uterine rupture in pregnancy after iatrogenic perforation by uterine manipulator; a case report

KOH Iiji, MINEKAWA Ryoko, FUNAUCHI Masashi, HOSOMI Mai, NUKII Risa, TSUCHIDA Michiru, HAMADA Shinichi, MURATA Yuji

doi:10.11437/sanpunosinpo.70.120

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腹腔鏡下マニピュレーターによる穿孔の既往後に妊娠32週で子宮破裂をきたした1例
症例報告腹腔鏡下マニピュレーターによる穿孔の既往後に妊娠32週で子宮破裂をきたした1例
ショウレイホウコクフククウキョウカマニピュレーターニヨルセンコウノキオウゴニニンシン 32シュウデシキュウハレツオキタシタ 1レイ

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Abstract

<p>Application of uterine manipulator has been increased in late years with growing use of laparoscopic surgery. We experienced a rare case of spontaneous uterine rupture during pregnancy following a history of perforation by uterine manipulator. A 37-year-old primipara, who had a history of iatrogenic uterine perforation 2 years ago, was transferred to our hospital due to preterm labor at 32 weeks of gestation. On admission regular but painless contractions were observed with reassuring fetal heart rate pattern. Three days later she complained of severe pain on uterine fundus, and CTG showed non-reassuring fetal heart rate pattern. Amniotic fluid was only seen in upper uterine cavity on ultrasound, therefore uterine rupture was strongly suspected. Rupture was confirmed and successfully repaired during emergent cesarean section. Both mother and neonate were discharged with no complications. Our experience could suggest importance of proper training with careful application of uterine manipulator. [Adv Obstet Gynecol, 70(2) : 120-125, 2018 (H30.5)]</p>

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ADVANCES IN OBSTETRICS AND GYNECOLOGY

ADVANCES IN OBSTETRICS AND GYNECOLOGY 70 (2), 120-125, 2018

THE OBSTETRICAL GYNECOLOGICAL SOCIETY OF KINKI DISTRICT JAPAN

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