Pneumoamnion and pregnancy loss after second-trimester laparoscopic surgery

Jennifer D. Friedman, Patrick S. Ramsey, Kirk D. Ramin, Colin Berry

Research output: Contribution to journalArticlepeer-review

79 Scopus citations

Abstract

BACKGROUND: Midtrimester 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. CASE: A 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. CONCLUSION: Inadvertent introduction of the Veress needle into the gravid uterus with subsequent pneumoamnion represents a catastrophic complication of midtrimester laparoscopic surgery.

Original languageEnglish (US)
Pages (from-to)512-513
Number of pages2
JournalObstetrics and gynecology
Volume99
Issue number3
DOIs
StatePublished - 2002

Bibliographical note

Copyright:
Copyright 2008 Elsevier B.V., All rights reserved.

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