Laparoscopy in an enormous ovarian cyst

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• 作者：W. Catarina Ang ; Gautier Chene ; Revaz Botchorishvili ; Gé ; rard Mage
• 关键词：Laparoscopic adenomyomectomy ; Adenomyosis ; Uterine rupture ; IVF-ET ; Twin pregnancy
• 刊名：Journal of Minimally Invasive Gynecology
• 出版年：2006
• 出版时间：January 2006
• 年：2006
• 卷：13
• 期：1
• 页码：2-3
• 全文大小：126 K

文摘

Adenomyomectomy is a treatment option to preserve fertility and reduce symptoms associated with adenomyosis. Although this procedure is reasonably expected to increase the risk of uterine rupture during pregnancy, reports on this issue are scarce. We recently encountered a 33-year-old nulliparous woman with a twin pregnancy who experienced a spontaneous uterine rupture at 30 weeks’ gestation. This patient was the first to conceive after undergoing laparoscopic adenomyomectomy at our institution. Her pregnancy was established with in vitro fertilization-embryo transfer 12 months after laparoscopic adenomyomectomy. The uterine rupture was heralded by a sudden onset of severe abdominal pain while she was receiving intravenous ritodrine. This case reinforces that pregnancy after adenomyomectomy should be closely monitored with respect to uterine rupture.