Spontaneous uterine rupture in the 35th week of gestation after laparoscopic adenomyomectomy

Figures & data

Figure 1 Uterine rupture with a 1.5 cm hole.

Note: One area did not have a muscle layer and was covered with only uterine serosa adjacent to the ruptured area.

Table 1 Characteristics in five cases of uterine rupture during pregnancy after adenomyomectomy

Author (year)	Age (years)	Operative method	Contraception period (months)	Gravida (G), para (P)	GA (weeks)	Uterine contraction or abdominal pain	Uterine bleeding	Outcome	Delivery method
Suginami (2001)^Citation10	NA	Laparoscopic	NA (>3)	NA	32	NA	NA	Live birth	Emergency cesarean section
Wada et al (2006)^Citation11	33	Laparoscopic	12	G0P0	30	+	−	Live birth	Emergency cesarean section
Morimatsu et al (2007)^Citation2	35	Laparoscopic	1	G1P1	28	+	−	Live birth	Emergency cesarean section
Onishi et al (2011)^Citation8	40	Laparotomic	NA	G3P1	31	+	−	Live birth	Emergency cesarean section
Our case (2014)	42	Laparoscopic	11	G2P0	35	+	+	Live birth	Elective cesarean section

Notes: +, present; −, absent.

Abbreviations: GA, gestational age; NA, not available.

Table 2 Pregnancy outcome in patients with prior history of adenomyomectomy

Author (year)	Number of cases	Abortion or still birth	Live birth	Uterine rupture	Operative method
suginami (2001)^Citation10	17	1	16	1	Laparoscopic
Matsuura et al (2004)^Citation12	11	4	7	0	Laparotomic
Fujishita (2006)^Citation13	5	3	2	0	Laparotomic
Wada et al (2006)^Citation11	18	1	17	2 (abortion 1, live birth 1)	Laparoscopic
takeuchi et al (2006)^Citation14	1	0	1	0	Laparoscopic
Morimatsu et al (2007)^Citation2	1	0	1	1	Laparoscopic
ota et al (2009)^Citation9	4	0	4	0	Laparoscopic
onishi et al (2011)^Citation8	1	0	1	1	Laparotomic
osada et al (2011)^Citation15	16	2	14	0	Laparotomic
saremi et al (2014)^Citation16	21	5	16	0	Laparoscopic
our case (2014)	1	0	1	1	Laparoscopic

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