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

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.