title: Spontaneous uterine rupture with amniotic sac protrusion at 28 weeks subsequent to previous hysteroscopic metroplasty.
abstract: BACKGROUND
  Hysteroscopic metroplasty improves pregnancy outcome in case of uterine septum. Uterine rupture during a pregnancy following this procedure may occur.
  
  
  METHODS
  A patient with a history of hysteroscopic resection of a uterine septum complicated by fundal perforation, presented at 28 weeks a spontaneous uterine rupture with amniotic sac protrusion through the uterine wall disruption.
  
  
  CONCLUSIONS
  Uterine rupture during pregnancy following a hysteroscopic metroplasty may occur even though it appears to be a very uncommon event. Patients who have had this procedure should be aware of this potential risk in case of future pregnancies. How to avoid such complication is still unclear.
authors.affiliation: Obstetrical Department, Valduce Hospital, Como, Italy.
authors.forename: R
authors.initials: R
authors.lastname: Conturso
authors.forename: L
authors.initials: L
authors.lastname: Redaelli
authors.forename: A
authors.initials: A
authors.lastname: Pasini
authors.forename: A
authors.initials: A
authors.lastname: Tenore
mesh_terms: D000328:Adult; D002585:Cesarean Section; D005260:Female; D005865:Gestational Age; D006801:Humans; D015907:Hysteroscopy; D007231:Infant, Newborn; D007234:Infant, Premature; D015931:Intensive Care, Neonatal; D007431:Intraoperative Complications; D011247:Pregnancy; D011248:Pregnancy Complications; D014463:Ultrasonography; D014595:Uterine Perforation / Q000209:etiology; D014597:Uterine Rupture / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D014599:Uterus / Q000002:abnormalities* / Q000601:surgery*