Second-trimester spontaneous uterine rupture after laparoscopic electromyolysis in nulligravida: A case report

Spontaneous rupture of gravid uterus is a rare catastrophic obstetrical emergency that puts the life of both mother and fetus at stake. Laparoscopic uterine surgery is one factor sharing increasingly in occurrence of such deadly condition. Treatment of uterine myoma using laparoscopic electromyolysis is one of the conservative surgical techniques reported and used successfully since last decade. However, there is conflicting evidence about pregnancy outcome after its usage. Here, we report a case of rupture gravid uterus at 22 weeks of gestation in a 23 years old nulliparous woman after previous history of laparoscopic myolysis. The patient was managed immediately with repair of the defect through urgent exploratory laparotomy. Laparoscopic myomectomy is the preferred management option for uterine myoma especially in fertility desired patients. Electromyolysis is a procedure that is not frequently performed nowadays and should be cautiously used if at all due to its serious consequences on the fertility potential.