Spontaneous uterine rupture of a twin pregnancy after a laparoscopic adenomyomectomy: A case report
article
OA: closed
CC0
⤵ 31 in-corpus citations
AI-generated summary
This case report describes a rare instance of spontaneous uterine rupture in a twin pregnancy that occurred following a laparoscopic adenomyomectomy.
One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works
Abstract
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.
My notes (saved in your browser only)
Condition tags
MeSH descriptors
Citation neighborhood
Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.
References (10)
- Gonadotropin-releasing hormone agonists and laparoscopy in the treatment of adenomyosis with infertility. via openalex
- Live birth after conservative surgery for severe adenomyosis following magnetic resonance imaging and gonadotropin-releasing hormone agonist therapy. via openalex
- Modified Reduction Surgery for Adenomyosis via openalex
- Successful pregnancy after treatment of deep adenomyosis with cytoreductive surgery and subsequent gonadotropin-releasing hormone agonist: a case report. via openalex
- Surgical and medical treatment of adenomyosis via openalex
- Treatment of infertile women with adenomyosis with a conservative microsurgical technique and a gonadotropin-releasing hormone agonist via openalex
- W2122866292 via openalex
- W2114276938 via openalex
- W6600549491 via openalex
- W6705979222 via openalex
Cited by (31)
- Spontaneous midtrimester uterine rupture in a primigravida with endometriosis: A case report and literature review 2026
- Tumor rupture and partial gut obstruction: Atypical presentations in a patient with adenomyosis 2023
- A case report of uterine rupture after repeated conservative treatment for adenomyosis 2022
- Surgical Treatment of Adenomyosis 2022
- Pregnancy complications 2021
- Spontaneous unscarred uterine rupture in a twin pregnancy complicated by adenomyosis 2021
- A Case of Elastography-Assisted Laparoscopic Fertility Preservation for Severe Deep Endometriosis Causing Ureteral Stenosis and Subtype II Adenomyosis 2021
- A Feasible Technique in Laparoscopic Excision for Juvenile Cystic Adenomyosis: A Case Report, Literature Review, and Surgical Video 2021
- Anti-Müllerian hormone level may predict successful pregnancy after adenomyomectomy in patients with infertility due to adenomyosis 2021
- Experience of Surgical Treatment of Adenomyosis and Reproductive Outcomes 2020
- Adenomyose 2019
- Adenomyosis and Infertility 2019
- Clinical efficacy of adenomyomectomy using “H” type incision combined with Mirena in the treatment of adenomyosis 2019
- Uterine adenomyosis and adenomyoma: the surgical approach 2018
- Adenomyose 2018
- Treatment options and reproductive outcome for adenomyosis-associated infertility 2017
- The Outcome on Conservative Surgical Treatment of Adenomyosis 2017
- New paradigms in the conservative surgical and interventional management of adenomyosis 2017
- Monochorionic twin delivery after conservative surgical treatment of a patient with severe diffuse uterine adenomyosis without uterine rupture 2016
- Efficacy of laparoscopic adenomyomectomy using double-flap method for diffuse uterine adenomyosis 2015
- Approaches to adenomyomectomy 2015
- Laparoscopic assisted adenomyomectomy using double flap method 2014
- Treatment of adenomyomectomy in women with severe uterine adenomyosis using a novel technique 2014
- Usefulness of CA125 in the differential diagnosis of uterine adenomyosis and myoma 2014
- Laparoscopic assisted adenomyomectomy using double flap method 2014
- National German Guideline (S2k): Guideline for the Diagnosis and Treatment of Endometriosis 2014
- Adenomyosis 2013
- Update on the surgical management of adenomyosis 2012
- Total uterine rupture during pregnancy after an adenomyomectomy 2011
- Surgical procedure to conserve the uterus for future pregnancy in patients suffering from massive adenomyosis 2010
- Adenomyosis and uterine rupture during labour in a primigravida: an unusual obstetric emergency in Nigeria 2009
Source provenance
- europepmc
- last seen: 2026-07-26T06:08:39.051465+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-05-13T22:15:23.967219+00:00
License: CC0
· commercial use OK