Uterine rupture at the 29th week of subsequent pregnancy after hysteroscopic resection of uterine septum

Abstract

Objective: To describe a patient with uterine rupture in the subsequent pregnancy after hysteroscopic resection of a uterine septum.

Design: Case report.

Setting: University hospital.

Patient(s): A 30-year-old nulliparous woman, with a history of a first trimester spontaneous abortion, hysteroscopic uterine septum resection by cutting diathermy using the operating hysteroscope, and a second hysteroscopic procedure for a residual septum, was admitted to our clinic with symptoms of hemodynamic shock at the 29th week of gestation.

Intervention(s): Immediate laparotomy was performed.

Main outcome measure(s): Uterine rupture in the second trimester of the subsequent pregnancy with fetal loss.

Result(s): Midfundal complete uterine rupture was observed at the site of the resected uterine septum, accompanied by an extrauterine exanimate fetus.

Conclusion(s): Uterine rupture may occur in pregnancies after hysteroscopic resection of the uterine septum. Clinicians who perform this procedure, especially in the cases with repeated procedures using cutting diathermy, must warn and inform their patients about the risks of their later pregnancies.