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Spontaneous Complete Uterine Rupture With Fetal Demise at Term Following Laparoscopic Myomectomy: A Case Report
Xuejing Liu1, Haiyan Liu1, Lei Chen1
1Department of Gynecology and Obstetrics Haidian Maternal and Child Health Hospital Beijing China.
Clinical Case Reports
|July 19, 2026
Summary
Uterine rupture after laparoscopic myomectomy (LM) is a serious emergency. Prompt surgical intervention is crucial, even without typical symptoms, for better outcomes in these high-risk patients.
Area of Science:
- Obstetrics and Gynecology
- Surgical Complications
Background:
- Uterine rupture is a critical obstetric emergency.
- Increasing reports link uterine rupture to prior laparoscopic myomectomy (LM).
Purpose of the Study:
- To report a case of spontaneous uterine rupture with fetal demise post-LM.
- To highlight diagnostic challenges and emphasize early suspicion for timely management.
Main Methods:
- Surgical management of a spontaneous uterine rupture case.
- Review of clinical presentation and diagnostic considerations in a patient with LM history.
Main Results:
- Successful surgical management of uterine rupture.
- Demonstrated diagnostic difficulty in identifying rupture without classic symptoms.
Conclusions:
- Uterine rupture post-LM requires high clinical suspicion.
- Prompt surgical intervention is vital for optimizing outcomes in suspected cases.
