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Human Reproduction, Vol. 17, No. 8, 2180-2182, August 2002
© 2002 European Society of Human Reproduction and Embryology

Uterine dehiscence in a nullipara, diagnosed by MRI, following use of unipolar electrocautery during laparoscopic myomectomy: Case report

Uwe Hasbargen1,4, Margarita Summerer-Moustaki1, Peter Hillemanns1, Jürgen Scheidler2, Rainer Kimmig3 and Hermann Hepp1

1 Departments of Obstetrics and Gynaecology and 2 Diagnostic Radiology, Klinikum der Universität München, Grosshadern, Marchioninistr. 15, D-81377 Munich and 3 Department of Obstetrics and Gynaecology Universitätsklinikum Essen, Essen, Germany

Uterine scar dehiscence following laparoscopic myomectomy (LM) is a rare event. We present a case of an magnetic resonance imaging-diagnosed uterine dehiscence in a primigravid patient at 29 weeks gestation, following a laparoscopic subserosal myomectomy, performed using unipolar electrocoagulation. Pregnant patients with a history of prior surgery where unipolar electrocoagulation is used on the uterus should be closely followed throughout pregnancy and uterine dehiscence or rupture should be part of the differential diagnosis when they present with abdominal pain.

Key words: laparoscopic myomectomy/MRI/pregnancy/uterine dehiscence

4 To whom correspondence should be addressed. E-mail: uwe.hasbargen{at}med.uni-muenchen.de


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A. Cagnacci, D. Pirillo, S. Malmusi, S. Arangino, C. Alessandrini, and A. Volpe
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