BACKGROUND: Uterine dehiscence in the past has been treated with delivery of the pregnancy and repair of the uterus or cesarean hysterectomy. Uterine repair and continuation of the pregnancy has not been attempted to our knowledge. CASE: A patient with a history of a laparoscopic myomectomy presented at 28 weeks of gestation with a uterine dehiscence. This was repaired and the pregnancy continued until fetal lung maturity at 34 weeks. CONCLUSION: Repair of a uterine dehiscence in a hemodynamically stable patient and continuation of the pregnancy should be considered in a very premature pregnancy to improve neonatal outcome.
BACKGROUND: Uterine dehiscence in the past has been treated with delivery of the pregnancy and repair of the uterus or cesarean hysterectomy. Uterine repair and continuation of the pregnancy has not been attempted to our knowledge. CASE: A patient with a history of a laparoscopic myomectomy presented at 28 weeks of gestation with a uterine dehiscence. This was repaired and the pregnancy continued until fetal lung maturity at 34 weeks. CONCLUSION: Repair of a uterine dehiscence in a hemodynamically stable patient and continuation of the pregnancy should be considered in a very premature pregnancy to improve neonatal outcome.