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.