Letter to ‘Silent uterine rupture occluded by intestinal adhesions following laparoscopic myomectomy: A case report’: Do some remain permanently silent?

Response to ‘Silent uterine rupture occluded by intestinal adhesions following laparoscopic myomectomy: A case report’: Do some remain permanently silent?

“…The suggestion that it is controversial whether masked rupture is a friend or foe in pregnancy was interesting . In our case, the lack of symptoms suggested that uterine perforation did not occur until the time of the elective cesarean section.…”

“…I thank Dr. Matsubara and Dr. Morita for their interest in our article regarding the occlusion of asymptomatic silent uterine rupture by intestinal adhesion following laparoscopic myomectomy (LM) . We conclude that it is difficult to detect silent uterine rupture during pregnancy in patients with a myomectomy scar, even with detailed imaging, especially when the scar adheres to the bowel.…”