title: Intrapartum spontaneous uterine rupture following uncomplicated resectoscopic treatment of Asherman's syndrome.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Taipei.
authors.forename: Chii-Shinn
authors.initials: CS
authors.lastname: Shiau
authors.forename: Ching-Chang
authors.initials: CC
authors.lastname: Hsieh
authors.forename: Chi-Hsin
authors.initials: CH
authors.lastname: Chiang
authors.forename: T'sang-T'ang
authors.initials: TT
authors.lastname: Hsieh
authors.forename: Ming-Yang
authors.initials: MY
authors.lastname: Chang
mesh_terms: 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*