Spontaneous antenatal uterine rupture 3 years after laparoscopic myomectomy

Abstract

A 31-year-old primigravid woman with a history of intramural laparoscopic myomectomy presented with acute abdominal pain at 32 weeks of gestation. Ultrasound revealed a fundal uterine rupture with herniation of the intact amniotic membranes together with a foetal limb outside the uterine cavity. An emergency caesarean section was carried out, and a live female neonate weighing 1,950 g was delivered. © Springer-Verlag 2005.