Sigmoido-uterine rupture in pregnancy after multiple myomectomy.

ABSTRACT

A case of rupture of the uterus during pregnancy with concomitant injury of the sigmoid is reported. This complication followed a multiple myomectomy performed during a previous pregnancy. The initial symptom was a septic fever. However two clinical signs proved pathognomonic for the diagnosis the passing of blood clots and gas through the anus, and the presence of free gas in the abdomen. Hysterectomy with colostomy is the most suitable treatment.