Uterine rupture after hysteroscopic resection of uterine septum

Prokopis Kerimis, Mattityahu Zolti, Gideon Sinwany, Shlomo Mashiach, Howard Carp

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To describe a patient who underwent hysteroscopic resection of a uterine septum for recurrent miscarriage. The subsequent labor caused uterine rupture. Design: Case report.Setting: Academic medical center. Patient(s): A 37-year-old nullipara with three previous miscarriages. Intervention(s): Resection of the septum by cutting diathermy using the operating hysteroscope. Main Outcome Measure(s): Pregnancy and delivery. Result(s): The patient had an uneventful pregnancy and spontaneous labor at 41 weeks. Cesarean section was performed because of suspected fetal distress. During cesarean section, the uterus was ruptured transversely along the fundus at the line of the attachment of the septum. Conclusions: When fetal distress occurs after previous uterine surgery, uterine rupture must be considered as a possible cause and appropriate treatment is necessary.

Original languageEnglish
Pages (from-to)618-620
Number of pages3
JournalFertility and Sterility
Volume77
Issue number3
DOIs
StatePublished - 2002

Keywords

  • Hysteroscopic surgery
  • Recurrent miscarriage
  • Uterine septum

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