New treatment option for early spontaneous rupture of a postmyomectomy gravid uterus

Abstract

Objective: To report the successful treatment of a postmyomectomy, early uterine rupture with the use of a Bakri balloon.

Design: Case report.

Setting: University hospital, department of obstetrics and gynecology.

Patient(s): A 32-year-old patient, gravida 1, at 19 weeks' gestation, with postmyomectomy spontaneous uterine rupture and concurrent uterine atony.

Intervention(s): Laparotomy was done because of massive hemoperitoneum. A Bakri balloon was inserted, and a two-layer suture of the uterine defect was performed.

Main outcome measure(s): Possibility of controlling hemorrhage and avoiding hysterectomy.

Result(s): Contemporary surgical sutures and insertion of a Bakri balloon were effective at controlling hemorrhage. The uterus was preserved.

Conclusion(s): The use of a Bakri balloon, combined with traditional surgical techniques, is described as a new method to successfully treat hemorrhage in the case of early spontaneous uterine rupture. In this case, hysterectomy was also avoided.