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  • Title: Uterine rupture in patients with a history of laparoscopy or hysteroscopy procedures: Three case reports.
    Author: Zhao B, Wang Y, Zhang Y.
    Journal: Medicine (Baltimore); 2019 May; 98(20):e15491. PubMed ID: 31096449.
    Abstract:
    RATIONALE: Uterine rupture is a rare incidence but can lead to catastrophic maternal and fetal consequences. We still need to place a high premium on these cases. PATIENT CONCERNS: The patients all showed hemodynamic shock with complaints of serious pain in the abdomen. They all had a history of laparoscopy or hysteroscopy procedures. DIAGNOSES: Case 1 and 2 were diagnosed during surgery. Case 3 was diagnosed by an urgent abdominal ultrasonogram before surgery. INTERVENTIONS: We performed emergency surgeries for the 3 cases. OUTCOMES: Three patients all recovered well. But only the child in case 2 survived. LESSONS: It must be emphasized that pregnant women with a history of such surgeries should be aware of uterine rupture during pregnancy.
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