We reported a case of uterine rupture in a 34-year-old woman. The woman had HIFU treatment for adenomyosis eight months before unplanned pregnancy. She was closely monitored during the pregnancy and the antenatal course was uneventful. At the gestational age of 38 weeks and 2 days, an emergency lower segment cesarean section was performed because of inexplainable abdominal pain. After delivery of the fetus, a 2 × 2 cm serous membrane rupture was observed in the HIFU treatment area.
Uterine rupture during pregnancy after HIFU is a rare adverse event, however, attention is required during the whole pregnancy in case of unexpected uterine rupture.
■我们报道了一例34岁女性子宫破裂的病例。该妇女在计划外怀孕前八个月接受了子宫腺肌病的HIFU治疗。她在怀孕期间受到密切监测,产前过程顺利。在38周零2天的胎龄时,由于无法解释的腹痛,进行了紧急下段剖宫产术。胎儿分娩后,在HIFU治疗区域观察到2×2cm的浆膜破裂。
HIFU后妊娠期间子宫破裂是一种罕见的不良事件,然而,在整个怀孕期间需要注意,以防意外的子宫破裂。