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  • Title: Uterine rupture at term after uncomplicated hysteroscopic metroplasty.
    Author: Angell NF, Tan Domingo J, Siddiqi N.
    Journal: Obstet Gynecol; 2002 Nov; 100(5 Pt 2):1098-9. PubMed ID: 12423820.
    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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