Intrapartum spontaneous uterine rupture following uncomplicated resectoscopic treatment of Asherman's syndrome.
Since Asherman first published his series of intrauterine synechiae in 1948, only a few physicians have described the obstetric complications of patients who conceived following surgical treatment of intrauterine synechiae. We present a woman with a history of resectoscopic resection of intrauterine adhesions with a term pregnancy and spontaneous uterine rupture that occurred during the intrapartum period. At emergent cesarean section, hemoperitoneum of approximately 1500 mL was noted and a 10-cm defect was present in the lateral uterine wall; the edges of the defect were bleeding actively. Because of the potential for a disastrous outcome in the rupture of the pregnant uterus, patients treated for Asherman's syndrome should be identified early and appropriate precautions should be taken in their obstetric management.
Shiau
Chii-Shinn
CS
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Taipei.
Hsieh
Ching-Chang
CC
Chiang
Chi-Hsin
CH
Hsieh
T'sang-T'ang
TT
Chang
Ming-Yang
MY
D000328:Adult; D005260:Female; D006175:Gynatresia / Q000150:complications / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology*; D014597:Uterine Rupture / Q000209:etiology*