title: Recurrent uterine rupture after hysterescopic resection of the uterine septum.
abstract: BACKGROUND
  Uterine rupture after hysteroscopic septum resection is a rare complication, and its frequency is reported to be approximately 1-2.7%. Uterine perforation and monopolar resection during hysteroscopy are well-known risk factors for subsequent uterine rupture during pregnancy.
  
  
  METHODS
  We present a case of recurrent uterine ruptures during consecutive pregnancies in a patient who had undergone hysteroscopic septum resection for recurrent pregnancy loss.
  
  
  CONCLUSIONS
  Recurrent uterine rupture due to hysteroscopic septum resection in pregnancy is a very rare condition. In the present case we noted that the first two uterine ruptures resulted from uterine contractions; however, the third rupture occurred spontaneously and earlier in gestation. As each uterine rupture occurred earlier than the rupture in the previous gestation, a history of uterine rupture during pregnancy should raise provider suspicion about the possibility of earlier uterine rupture recurrence.
  
  
  CONCLUSIONS
  Uterine rupture may occur in pregnancies after hysteroscopic resection of the uterine septum. However, if a patient has a history of uterine rupture during previous pregnancies, the risk of uterine rupture may increase for earlier gestational ages in subsequent pregnancies. The patient must be informed about both the risks of uterine rupture during pregnancy after hysteroscopic septum resection and that recurrent ruptures may occur at earlier gestational weeks than during previous pregnancies.
authors.affiliation: Ege University Faculty of Medicine, Department of Obstetrics and Gynecology, Bornova, 35100 İzmir, Turkey. Electronic address: mergenoglu@hotmail.com.
authors.forename: Mete
authors.initials: M
authors.lastname: Ergenoglu
authors.forename: Ahmet Ozgur
authors.initials: AO
authors.lastname: Yeniel
authors.forename: Nuri
authors.initials: N
authors.lastname: Yıldırım
authors.forename: Ali
authors.initials: A
authors.lastname: Akdemir
authors.forename: Sait
authors.initials: S
authors.lastname: Yucebilgin