title: Uterine rupture at the 29th week of subsequent pregnancy after hysteroscopic resection of uterine septum.
abstract: OBJECTIVE
  To describe a patient with uterine rupture in the subsequent pregnancy after hysteroscopic resection of a uterine septum.
  
  
  METHODS
  Case report.
  
  
  METHODS
  University hospital.
  
  
  METHODS
  A 30-year-old nulliparous woman, with a history of a first trimester spontaneous abortion, hysteroscopic uterine septum resection by cutting diathermy using the operating hysteroscope, and a second hysteroscopic procedure for a residual septum, was admitted to our clinic with symptoms of hemodynamic shock at the 29th week of gestation.
  
  
  METHODS
  Immediate laparotomy was performed.
  
  
  METHODS
  Uterine rupture in the second trimester of the subsequent pregnancy with fetal loss.
  
  
  RESULTS
  Midfundal complete uterine rupture was observed at the site of the resected uterine septum, accompanied by an extrauterine exanimate fetus.
  
  
  CONCLUSIONS
  Uterine rupture may occur in pregnancies after hysteroscopic resection of the uterine septum. Clinicians who perform this procedure, especially in the cases with repeated procedures using cutting diathermy, must warn and inform their patients about the risks of their later pregnancies.
authors.affiliation: Department of Obstetrics and Gynecology, Ankara University Medical Faculty, Ankara, Turkey.
authors.forename: Mustafa Hakan
authors.initials: MH
authors.lastname: Satiroğlu
authors.forename: Murat
authors.initials: M
authors.lastname: Gözüküçük
authors.forename: Serife Esra
authors.initials: SE
authors.lastname: Cetinkaya
authors.forename: Batu
authors.initials: B
authors.lastname: Aydinuraz
authors.forename: Korhan
authors.initials: K
authors.lastname: Kahraman
mesh_terms: D003131:Combined Modality Therapy; D004564:Electrocoagulation / Q000009:adverse effects*; D017707:Erythrocyte Transfusion; D005260:Female; D005313:Fetal Death / Q000209:etiology; D005865:Gestational Age; D006801:Humans; D015907:Hysteroscopy / Q000009:adverse effects*; D013513:Obstetric Surgical Procedures; D011247:Pregnancy; D012086:Reoperation; D012771:Shock, Hemorrhagic / Q000209:etiology; D013536:Suture Techniques; D016896:Treatment Outcome; D014597:Uterine Rupture / Q000209:etiology* / Q000628:therapy; D014599:Uterus / Q000601:surgery*