Pneumoamnion and Pregnancy Loss After Second‐Trimester Laparoscopic Surgery
作者:
Jennifer Friedman,
Patrick Ramsey,
Kirk Ramin,
Colin Berry,
期刊:
Obstetrics & Gynecology
(OVID Available online 2002)
卷期:
Volume 99,
issue 3
页码: 512-513
ISSN:0029-7844
年代: 2002
出版商: OVID
数据来源: OVID
摘要:
BACKGROUNDMidtrimester laparoscopic surgery is considered safe; however, both maternal and fetal complications can occur. We report a case of midtrimester pregnancy loss with pneumoamnion after laparoscopic appendectomy.CASEA young woman presented at 21 weeks' gestation with a 3-day history of nausea and severe abdominal pain. Diagnostic laparoscopy was performed with normal appendix and pelvic anatomy noted. Worsening pain prompted a repeat laparoscopic evaluation. A small defect in the uterine serosa was noted, which presumably resulted from inadvertent Veress needle injury. Abdominal computerized tomography was performed, which demonstrated a pneumoamnion. Spontaneous rupture of membranes and labor ensued, resulting in the delivery of a stillborn fetus.CONCLUSIONInadvertent introduction of the Veress needle into the gravid uterus with subsequent pneumoamnion represents a catastrophic complication of midtrimester laparoscopic surgery.
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