Uterine rupture during pregnancy in a patient with a history of hysteroscopic metroplasty.
BACKGROUND
Uterine septa may be responsible for spontaneous abortion. Hysteroscopic metroplasty may improve pregnancy outcome.


METHODS
A patient with a history of hysteroscopic resection of a uterine septum presented in preterm labor. This was her second pregnancy following the procedure; the first resulted in a term vaginal delivery. This second pregnancy ended with a preterm cesarean delivery. A 3.5 x 3.5-cm fundal rupture was discovered during the cesarean. The metroplasty had been performed with the KTP laser under direct laparoscopic visualization. No surgical complications had occurred.


CONCLUSIONS
Uterine rupture during a pregnancy may occur following hysteroscopic metroplasty, even when no complications occur at surgery and even if a normal pregnancy outcome follows the procedure. Physicians providing care for patients who have had hysteroscopic metroplasty should be aware of the potential for uterine rupture during pregnancy.
Lobaugh
M L
ML
Department of Obstetrics and Gynecology, HCA Wesley Medical Center, Wichita, Kansas.
Bammel
B M
BM
Duke
D
D
Webster
B W
BW
D000328:Adult; D002908:Chronic Disease; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D011183:Postoperative Complications; D011247:Pregnancy; D014597:Uterine Rupture / Q000209:etiology*; D014599:Uterus / Q000002:abnormalities / Q000601:surgery*