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Uterine rupture at the 29th week of subsequent pregnancy after hysteroscopic resection of uterine septum.

Abstract：

OBJECTIVE:To describe a patient with uterine rupture in the subsequent pregnancy after hysteroscopic resection of a uterine septum. DESIGN:Case report. SETTING:University hospital. PATIENT(S):A 30-year-old nulliparous woman, with a history of a first trimester spontaneous abortion, hysteroscopic uterine septum resection by cutting diathermy using the operating hysteroscope, and a second hysteroscopic procedure for a residual septum, was admitted to our clinic with symptoms of hemodynamic shock at the 29th week of gestation. INTERVENTION(S):Immediate laparotomy was performed. MAIN OUTCOME MEASURE(S):Uterine rupture in the second trimester of the subsequent pregnancy with fetal loss. RESULT(S):Midfundal complete uterine rupture was observed at the site of the resected uterine septum, accompanied by an extrauterine exanimate fetus. CONCLUSION(S):Uterine rupture may occur in pregnancies after hysteroscopic resection of the uterine septum. Clinicians who perform this procedure, especially in the cases with repeated procedures using cutting diathermy, must warn and inform their patients about the risks of their later pregnancies.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Satiroğlu MH,Gözüküçük M,Cetinkaya SE,Aydinuraz B,Kahraman K

doi

10.1016/j.fertnstert.2008.08.075

subject

Has Abstract

pub_date

2009-03-01 00:00:00

pages

934.e1-3

issue

3

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(08)03569-3

journal_volume

91

pub_type

杂志文章

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