Total uterine rupture during pregnancy after an adenomyomectomy

Shingo Ukita, Masafumi Koshiyama, Ayaka Yamaguchi, Masashi Ueda, Masayo Ukita, Kenji Hishikawa, Kazuyo Kakui, Tomoko Kim
In: American Journal of Case Reports, The · 2011 · vol. 12 , pp. 106–109 · doi:10.12659/ajcr.881914 · W2006052433
article OA: closed CC0 ⤵ 8 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This case report details a uterine rupture at 29 weeks gestation in a woman previously treated with adenomyomectomy, attributed to a vulnerable scar with residual adenomyotic fragments.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This paper is a single-patient case report describing total uterine rupture during pregnancy following an adenomyomectomy. The authors report the clinical course and the occurrence of a catastrophic uterine wall failure after prior surgical treatment, highlighting a rare but serious potential complication; the paper is limited by its case-report design and provides no comparative data or mechanism-focused analysis beyond the temporal association. While it focuses on obstetric surgical history and pregnancy outcome rather than disease biology, it still directly documents an adverse event in a uterus previously operated on for adenomyoma/adenomyosis-related pathology. This paper is centrally about adenomyosis — it reports total uterine rupture during pregnancy after an adenomyomectomy.

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Abstract

Summary Background: Adenomyomectomy and myomectomy are treatment options to reduce dysmenorrhea and to preserve fertility. Recently, the number of adenomyomectomies and myomectomies performed has gradually increased. On the other hand, an increased risk of uterine rupture during pregnancy is associated with the thinned uterine scar after these surgeries. Case Report: We encountered a 39-year-old nulliparous woman who experienced a spontaneous uterine rupture at an early stage of the 29 th week of gestation after an adenomyomectomy. The adenomyomectomy method created a deep and wide wedge-shaped excision. Pathologically, the main reason for the rupture was thought to be the uterine scar with the residual adenomyotic fragments, which was very vulnerable to pregnant decidualization and thus ruptured. Conclusions: It should be emphasized that a woman who becomes pregnant after undergoing an adenomyomectomy needs very careful management throughout all gestational periods.
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dysmenorrhea

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