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Rupture of a uterine horn after laparoscopic salpingectomy. A case report
Jean-Marc Ayoubi1, Renato Fanchin, Florence Lesourd
1Departments of Obstetrics and Gynecology, University Hospital, Grenoble, Antoine Béclère Hospital, Clamart, France. jamayou@aol.com
Background:
Uterine rupture after salpingectomy, especially associated with cornual resection, is a rare, serious pregnancy complication.
Case:
A spontaneous uterine rupture occurred during the second trimester of pregnancy, following salpingectomy with resection of the interstitial portion. Conservative treatment was performed, and fertility was preserved.
Conclusion:
Postsalpingectomy pregnancies must be carefully and frequently monitored, with ultrasonography used at the slightest clinical symptom. A postsalpingectomy rupture must be treated surgically, preferably with conservative treatment rather than hysterectomy.