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Uterine rupture after hysteroscopic resection of uterine septum
Prokopis Kerimis1, Mattityahu Zolti, Gideon Sinwany
1Department of Obstetrics and Gynecology, Sheba Medical Center, Tel Hashomer, Israel. carp@netvision.net.il
Objective:
To describe a patient who underwent hysteroscopic resection of a uterine septum for recurrent miscarriage. The subsequent labor caused uterine rupture.
Design:
Case report.
Setting:
Academic medical center.
Patient(S):
A 37-year-old nullipara with three previous miscarriages.
Intervention(S):
Resection of the septum by cutting diathermy using the operating hysteroscope.
Main Outcome Measure(S):
Pregnancy and delivery.
Result(S):
The patient had an uneventful pregnancy and spontaneous labor at 41 weeks. Cesarean section was performed because of suspected fetal distress. During cesarean section, the uterus was ruptured transversely along the fundus at the line of the attachment of the septum.
Conclusion(S):
When fetal distress occurs after previous uterine surgery, uterine rupture must be considered as a possible cause and appropriate treatment is necessary.