A silent rupture of previous myomectomy scar in a full term pregnancy : A case report

Uterine rupture is a severe obstetric complication. The most common risk factor is previous uterine surgery such as myomectomy. Timely diagnosis and prompt intervention are crucial to reduce the high rates of perinatal morbidity and mortality. In this case report we present a 38-year-old lady with a full-term pregnancy and a history of myomectomy. Presented to obstetric emergency department at beginning of labor. During the cesarean a uterine rupture was found on the scar of the previous myomectomy. Myomectomy is a common risk factor for spontaneous uterine rupture during pregnancy. Through litterature, we try to estimate the incidence of the uterine rupture, the clinical symptoms of this complication and the surgical treatment proposed. In conclusion uterine rupture after prior myomectomy is still hard to predict.Patients should be informed of this risk before conception and decide the mode of delivery. Obstetricians must remain vigilant toward any pregnancy with a history of myomectomy.