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Uterine Rupture at Term After Uncomplicated Hysteroscopic Metroplasty

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

Case Reports

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.

Rupture of the uterus in early labor at term occurred in a woman with a prior uneventful hysteroscopic metroplasty.

Slocum-Dickson Medical Group, PC, Utica; and Lewis County General Hospital, Lowville, New York

Address reprint requests to: Norman F. Angell, MD, PhD, Department of OB/GYN, University of South Alabama, 251 Cox Street, Suite 100, Mobile, AL 36604; E-mail:

Received January 24, 2002. Received in revised form April 10, 2002. Accepted April 11, 2002.

© 2002 The American College of Obstetricians and Gynecologists