Spontaneous uterine rupture with amniotic sac protrusion at 28 weeks subsequent to previous hysteroscopic metroplasty

Background: Hysteroscopic metroplasty improves pregnancy outcome in case of uterine septum. Uterine rupture during a pregnancy following this procedure may occur. Case: A patient with a history of hysteroscopic resection of a uterine septum complicated by fundal perforation, presented at 28 weeks a...

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Bibliographic Details
Published in:European journal of obstetrics & gynecology and reproductive biology 2003-03, Vol.107 (1), p.98-100
Main Authors: Conturso, R., Redaelli, L., Pasini, A., Tenore, A.
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Cesarean Section
Female
Gestational Age
Humans
Hysteroscopic metroplasty
Hysteroscopy
Infant, Newborn
Infant, Premature
Intensive Care, Neonatal
Intraoperative Complications
Medical sciences
Pregnancy
Pregnancy Complications
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the genital tract and mammary gland
Ultrasonography
Uterine Perforation - etiology
Uterine rupture
Uterine Rupture - diagnostic imaging
Uterine Rupture - etiology
Uterine Rupture - surgery
Uterus - abnormalities
Uterus - surgery
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Summary:Background: Hysteroscopic metroplasty improves pregnancy outcome in case of uterine septum. Uterine rupture during a pregnancy following this procedure may occur. Case: A patient with a history of hysteroscopic resection of a uterine septum complicated by fundal perforation, presented at 28 weeks a spontaneous uterine rupture with amniotic sac protrusion through the uterine wall disruption. Conclusion: Uterine rupture during pregnancy following a hysteroscopic metroplasty may occur even though it appears to be a very uncommon event. Patients who have had this procedure should be aware of this potential risk in case of future pregnancies. How to avoid such complication is still unclear.
ISSN:0301-2115
1872-7654
DOI:10.1016/S0301-2115(02)00242-7