title: Uterine rupture after hysteroscopic resection of uterine septum.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, Sheba Medical Center, Tel Hashomer, Israel. carp@netvision.net.il
authors.forename: Prokopis
authors.initials: P
authors.lastname: Kerimis
authors.forename: Mattityahu
authors.initials: M
authors.lastname: Zolti
authors.forename: Gideon
authors.initials: G
authors.lastname: Sinwany
authors.forename: Shlomo
authors.initials: S
authors.lastname: Mashiach
authors.forename: Howard
authors.initials: H
authors.lastname: Carp
mesh_terms: 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*