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Obstetrics & Gynecology:
Case Reports

Uterine Rupture at Term After Uncomplicated Hysteroscopic Metroplasty

Angell, Norman F. MD, PhD; Domingo, Josefina Tan MD; Siddiqi, Naeem MD

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BACKGROUND: In patients with a prior uterine septum resection, uterine rupture during pregnancy has been reported with the use of energy sources or when complicated by perforation.

CASE: A woman was found to have a uterine abnormality during her first pregnancy. After delivery, a septum was diagnosed and hysteroscopically incised using cold scissors without complication. Follow-up hysterosalpingogram showed a small residual septum. In her subsequent pregnancy, emergency cesarean after fetal bradycardia in early labor showed the placenta and fetus totally exteriorized through a cornua to cornua rupture of the fundus.

CONCLUSION: Uterine rupture during pregnancy after metroplasty is rare but may occur regardless of the method of metroplasty, absence of complications, or careful follow-up.

© 2002 The American College of Obstetricians and Gynecologists


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