Spontaneous rupture of the uterus following salpingectomy: a case report and literature review

Abstract

Laparoscopic salpingectomy (LPSC) is the main treatment for ectopic pregnancy, which leads to spontaneous uterine rupture (UR) during pregnancy. We report the characteristics of a woman who had spontaneous UR during pregnancy with a history of salpingectomy. We experienced a 31-year-old woman with a UR in pregnancy with a history of LPSC twice. The patient had a successful pregnancy. We also performed a literature review including cases with spontaneous UR after LPSC. Twenty-seven case reports of 48 women were included in our review. Thirty-five (83.33%, 35/42) women previously received LPSC and 15 (31.25%) developed interstitial pregnancies. The interval between pregnancy and the last surgery did not affect the frequency of interstitial pregnancy and gestational age. Fetal outcomes in patients with UR at the third trimester were better than those at the first and second trimesters. We suggest that close observation and timely treatment by experienced clinicians lead to good outcomes of pregnant women with suspected UR.

Successful Ultrasound-Guided Methotrexate Intervention in the Treatment of Heterotopic Interstitial Pregnancy: A Case Report and Literature Review

“…In addition, the operative time tends to be longer, with an average of 55.5 ± 21.3 min, and the average intraoperative blood loss is 76.0 ± 73.2 mL [ 41 ]. Surgery also increases the risk of uterine rupture in another pregnancy by about 33% [ 42 ]. The effect of surgery on future fertility is controversial.…”

Abdominal heterotopic pregnancy after in vitro fertilization and embryo transfer following bilateral salpingectomy: A case report and literature review

“…In addition, the possibility of a gradual enlargement of a microfistula in the corner of the uterus to dehiscence cannot be ruled out. In fact, more than 40 cases of spontaneous uterine rupture during pregnancy following salpingectomy have been reported until 2018 ( 18 ). In our report, none of the HP cases reviewed involved uterine rupture, despite the fact that some patients had undergone cornuectomy for the treatment of simultaneous cornual pregnancy.…”