TITLE:
A Silent Rupture of Previous Myomectomy Scar in a Full Term Pregnancy: A Case Report
AUTHORS:
Bensrhir Ibtissam, Mahfoud Hounaida, Tayb Roghaya, Baidada Aziz
KEYWORDS:
Uterine Rupture, Myomectomy, Pregnancy, Labor
JOURNAL NAME:
Open Access Library Journal,
Vol.11 No.4,
April
18,
2024
ABSTRACT: Uterine rupture is a severe obstetric complication. The most common risk factor is previous uterine surgery such as myomectomy. Timely diagnosis and prompt intervention are crucial to reduce the high rates of perinatal morbidity and mortality. In this case report we present a 38-year-old lady with a full-term pregnancy and a history of myomectomy. Presented to the obstetric emergency department at the beginning of labor. During the cesarean, a uterine rupture was found on the scar of the previous myomectomy. Myomectomy is a common risk factor for spontaneous uterine rupture during pregnancy. Through literature, we try to estimate the incidence of uterine rupture, the clinical symptoms of this complication, and the surgical treatment proposed. In conclusion, uterine rupture after prior myomectomy is still hard to predict. Patients should be informed of this risk before conception and decide the mode of delivery. Obstetricians must remain vigilant toward any pregnancy with a history of myomectomy.