Uterine rupture at the 29th week of subsequent pregnancy after hysteroscopic resection of uterine septum.
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.
Satiroğlu
Mustafa Hakan
MH
Department of Obstetrics and Gynecology, Ankara University Medical Faculty, Ankara, Turkey.
Gözüküçük
Murat
M
Cetinkaya
Serife Esra
SE
Aydinuraz
Batu
B
Kahraman
Korhan
K
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*