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Pregnancy After Laparoscopic Radiofrequency Ablation: A Case Report
1West Kendall OBGYN, Miami, Florida; and Iberoamerican University, Miami, Florida.
Background:
Laparoscopic radiofrequency ablation (RFA) has garnered popularity as a promising uterus-sparing option for the management of leiomyomas. However, data on fertility and reproductive outcomes, particularly rare complications such as uterine rupture, remain limited.
Case:
Twenty-nine-year-old G0 patient with infertility underwent uncomplicated laparoscopic RFA of a 1.18×1.33-cm anterior fundal intramural leiomyoma. She conceived spontaneously 2 years later and presented at 17 weeks of gestation with an anterior fundal uterine rupture, which was repaired successfully. Patient underwent scheduled cesarean delivery at 35 weeks and delivered a live-born 2,390-g boy with Apgar scores of 9 at 1 minute and 9 at 5 minutes. Pelvic magnetic resonance imaging at 6 months postpartum (26 months after ablation) revealed no myometrial lesions.
Conclusion:
Current data on reproductive outcomes after laparoscopic RFA are reassuring with regard to uterine rupture, but more prospective studies are needed. Although rare, uterine rupture should be considered a potential serious risk after laparoscopic RFA and discussed during patient counseling.
