Uterine rupture in labor after prior ultrasound-guided percutaneous microwave ablation of uterine fibroids: A case report
Year: 2025
Type: article
Study design: Case Report
Abstract: Ultrasound-guided percutaneous microwave ablation for the treatment of uterine fibroids has gained widespread clinical application due to its efficacy. However, reports on fertility outcomes and pregnancy complications following this treatment remain scarce. This report presents the case of a 31-year-old woman who underwent ultrasound-guided percutaneous microwave ablation for uterine fibroids. Regular postoperative follow-up revealed a significant reduction in the size of the uterine fibroids. Six months later, the patient successfully achieved natural conception, and her pregnancy progressed without any abnormalities. Given her strong preference for vaginal delivery, she was admitted to hospital at 40 weeks of gestation for monitoring when she began to exhibit signs of labor. However, uterine rupture occurred without any apparent warning during the labor. Following emergency surgical intervention, the neonate and the patient had a favorable outcome. This case underscores the efficacy of percutaneous microwave ablation for uterine fibroids but also emphasizes the need for postoperative follow-up to promptly identify any complications during the third trimester of pregnancy. • Uterine rupture during labor after earlier ultrasound-guided percutaneous microwave ablation for uterine fibroids is rare. • In the case reported, the length of the uterine rupture was disproportionate to the size of the uterine fibroid. • Intramural fibroids undergoing microwave ablation are more likely to cause uterine rupture. • In the reported case, both the mother and infant recovered well following timely surgical intervention.
Source: Case Reports in Women s Health
Authors: Yucui Zeng, Yanlan Wang, Xiaoyan Guang
Institution: Peking University Shenzhen Hospital
Language: English
Subfield: Obstetrics and Gynecology
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $1,080
OpenAlex ID: W4408434453