Spontaneous bilateral cornual uterine dehiscence early in the second trimester after bilateral laparoscopic salpingectomy and in-vitro fertilization: case report.
A bilateral cornual uterine dehiscence is reported, which occurred 14 weeks after in-vitro fertilization (IVF) in a patient having a medical history of previous bilateral salpingectomy via laparoscopy. Uterine rupture is a rare obstetric complication usually occurring during the third trimester of pregnancy within a uterus which has previously undergone an operation. Ectopic pregnancy is a well known complication of IVF. Post-salpingectomy cornual localization with rupture has also been published. Possible causes are discussed and the attention of the counselling physician is directed to the necessary awareness of such a complication in this high risk population. The reported case is an extreme rarity: a similar case has not been previously published in the literature.
Inovay
J
J
1st Department of Obstetrics and Gynecology, Semmelweis University Medical School, Baross utca 27, H-1088 Budapest, Hungary.
Marton
T
T
Urbancsek
J
J
Kádár
Z
Z
Altdorfer
K
K
Papp
Z
Z
D000328:Adult; D005187:Fallopian Tubes / Q000601:surgery*; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D010535:Laparoscopy; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D013529:Surgical Wound Dehiscence; D014597:Uterine Rupture / Q000601:surgery*