Rupture of a uterine horn after laparoscopic salpingectomy. A case report.
BACKGROUND
Uterine rupture after salpingectomy, especially associated with cornual resection, is a rare, serious pregnancy complication.


METHODS
A spontaneous uterine rupture occurred during the second trimester of pregnancy, following salpingectomy with resection of the interstitial portion. Conservative treatment was performed, and fertility was preserved.


CONCLUSIONS
Postsalpingectomy pregnancies must be carefully and frequently monitored, with ultrasonography used at the slightest clinical symptom. A postsalpingectomy rupture must be treated surgically, preferably with conservative treatment rather than hysterectomy.
Departments of Obstetrics and Gynecology, University Hospital, Grenoble, Antoine Béclère Hospital, Clamart, France. jamayou@aol.com
Jean-Marc
JM
Ayoubi
Renato
R
Fanchin
Florence
F
Lesourd
Olivier
O
Parant
Jean-Michel
JM
Reme
Xavier
X
Monrozies
D000328:Adult; D005187:Fallopian Tubes / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000379:methods; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods; D007813:Laparotomy / Q000379:methods; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D011274:Pregnancy, Tubal / Q000000981:diagnostic imaging / Q000601:surgery*; D018570:Risk Assessment; D016896:Treatment Outcome; D016216:Ultrasonography, Prenatal; D014597:Uterine Rupture / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*