Uterine rupture after hysteroscopic resection of uterine septum.
OBJECTIVE
To describe a patient who underwent hysteroscopic resection of a uterine septum for recurrent miscarriage. The subsequent labor caused uterine rupture.


METHODS
Case report.


METHODS
Academic medical center.


METHODS
A 37-year-old nullipara with three previous miscarriages.


METHODS
Resection of the septum by cutting diathermy using the operating hysteroscope.


METHODS
Pregnancy and delivery.


RESULTS
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.
Kerimis
Prokopis
P
Department of Obstetrics and Gynecology, Sheba Medical Center, Tel Hashomer, Israel. carp@netvision.net.il
Zolti
Mattityahu
M
Sinwany
Gideon
G
Mashiach
Shlomo
S
Carp
Howard
H
D000328:Adult; D002585:Cesarean Section; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000009:adverse effects*; D007231:Infant, Newborn; D008297:Male; D011247:Pregnancy; D011256:Pregnancy Outcome; D014597:Uterine Rupture / Q000209:etiology* / Q000601:surgery; D014599:Uterus / Q000601:surgery*