A 33-year-old woman underwent a myomectomy via coelioscopy and then showed
5 years later a uterine rupture at the 32nd week of amenorrhea. The rupture
was diagnosed after the echography, while there was no peritoneal maternal
patency nor foetal consequence. After a cesarean and an uterine repair, th
e recovery of the mother was satisfactory but the newborn was to die at the
6th week of life. This obstetrical complication raises the problem of myom
ectomy via coelioscopy in young women, whose indications are being discusse
d. (C) 2000 Elsevier Science ireland Ltd. All rights reserved.