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Obstetrics & Gynecology 2002;100:1098-1099
© 2002 by The American College of Obstetricians and Gynecologists
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CASE REPORTS

Uterine Rupture at Term After Uncomplicated Hysteroscopic Metroplasty

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

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: nangell{at}jaguar1.usouthal.edu.

ABSTRACT

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.




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 Hum ReprodHome page
Z. Kormanyos, B. G. Molnar, and A. Pal
Removal of a residual portion of a uterine septum in women of advanced reproductive age: obstetric outcome
Hum. Reprod., April 1, 2006; 21(4): 1047 - 1051.
[Abstract] [Full Text] [PDF]


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