Related Experiment Videos
Uterine defect in a twin pregnancy with a history of hysteroscopic fundal perforation
1Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California-San Francisco.
A woman with a history of hysteroscopic resection of a uterine septum complicated by fundal perforation presented with a term twin pregnancy and spontaneous rupture of membranes. At cesarean, a 7-cm defect was present in the uterine fundus; the edges of the defect were scarred and without bleeding, suggesting a chronic process. Women with a history of fundal perforation during hysteroscopic resection of a uterine septum should be counseled regarding the possibility of a chronic defect and its potential implications. As more uterine septa are resected via the hysteroscope, our understanding of potential long-term complications will increase.
A woman with a history of hysteroscopic resection of a uterine septum complicated by fundal perforation presented with a term twin pregnancy and spontaneous rupture of membranes. At cesarean, a 7-cm defect was present in the uterine fundus; the edges of the defect were scarred and without bleeding, suggesting a chronic process. Women with a history of fundal perforation during hysteroscopic resection of a uterine septum should be counseled regarding the possibility of a chronic defect and its potential implications. As more uterine septa are resected via the hysteroscope, our understanding of potential long-term complications will increase.