Spontaneous uterine rupture during pregnancy after radiofrequency ablation for adenomyosis: A case report and literature review
review
OA: diamond
CC-BY-NC-ND-4.0
AI-generated summary
This case report describes a rare uterine rupture in a pregnant woman after radiofrequency ablation for adenomyosis, highlighting potential risks to myometrial integrity.
One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works
Abstract
OBJECTIVE: To describe a rare case of spontaneous complete uterine rupture in a primigravida during pregnancy following a prior laparoscopic radiofrequency ablation (RFA) for adenomyosis, and to review pregnancy outcomes after RFA for adenomyosis or uterine fibroids.
CASE REPORT: A 30-year-old primigravida at 33 + 4 weeks of gestation, with a history of RFA for adenomyosis, presented to the emergency department with hypovolemic shock. She experienced sudden-onset vaginal bleeding and severe lower abdominal pain, followed by rapid loss of consciousness. Emergency laparotomy revealed massive hemoperitoneum and a longitudinal posterior uterine rupture extending from the fundus to the lower uterine segment, with complete expulsion of the fetus and placenta into the peritoneal cavity. Following delivery of an asphyxiated male infant, the uterus was repaired concurrently with resuscitation and massive blood transfusion, restoring maternal hemodynamic stability.
CONCLUSION: RFA for adenomyosis may compromise myometrial integrity and increase the risk of uterine rupture in subsequent pregnancies. Clinicians should provide thorough counseling and close antenatal surveillance for women conceiving after RFA.
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 (12)
- Effects of different treatment methods on clinical efficacy and fertility outcomes of patients with adenomyosis via openalex
- Laparoscopic Radiofrequency Thermal Ablation for Uterine Adenomyosis via openalex
- Pregnancy and symptomatic relief following ultrasound‐guided transvaginal radiofrequency ablation in patients with adenomyosis via openalex
- Pregnancy Outcomes after Uterus-sparing Operative Treatment for Adenomyosis: A Systematic Review and Meta-analysis via openalex
- Radiofrequency Ablation for Adenomyosis via openalex
- W4220706939 via openalex
- W1981179284 via openalex
- W4402989420 via openalex
- W1992596353 via openalex
- W2491200249 via openalex
- W2572439313 via openalex
- W3175551536 via openalex
Source provenance
- europepmc
- last seen: 2026-09-12T06:55:35.949492+00:00
- openalex
- last seen: 2026-07-24T06:09:49.243201+00:00
- pubmed
- last seen: 2026-09-12T06:48:46.849136+00:00
- unpaywall
- last seen: 2026-05-11T08:34:28.763810+00:00
License: CC-BY-NC-ND-4.0
· commercial use OK
· attribution required
Courtesy of the U.S. National Library of Medicine
Courtesy of the U.S. National Library of Medicine