title: Uterine defect in a twin pregnancy with a history of hysteroscopic fundal perforation.
abstract: A woman with a history of hysteroscopic resection of a uterine septum complicated by fundal perforation presented with a term twin pregnancy and spontaneous rupture of membranes. At cesarean, a 7-cm defect was present in the uterine fundus; the edges of the defect were scarred and without bleeding, suggesting a chronic process. Women with a history of fundal perforation during hysteroscopic resection of a uterine septum should be counseled regarding the possibility of a chronic defect and its potential implications. As more uterine septa are resected via the hysteroscope, our understanding of potential long-term complications will increase.
authors.affiliation: Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California-San Francisco.
authors.forename: M
authors.initials: M
authors.lastname: Creinin
authors.forename: M
authors.initials: M
authors.lastname: Chen
mesh_terms: D000328:Adult; D002585:Cesarean Section; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000009:adverse effects*; D007231:Infant, Newborn; D011247:Pregnancy; D011248:Pregnancy Complications; D011272:Pregnancy, Multiple; D014427:Twins; D014595:Uterine Perforation / Q000209:etiology* / Q000601:surgery; D014599:Uterus / Q000601:surgery