Recurrent spontaneous third-trimester uterine rupture after hysteroscopic resection of myoma: a case report

Ahmed M. Abbas, 1Department of Obstetrics and Gynecology, Faculty of Medicine; Assiut University, Assiut, Egypt
Mohammed K. Ali, Department of Obstetrics and Gynecology, Faculty of Medicine; Assiut University, Assiut, Egypt
Armia Michael, Faculty of Medicine; Assiut University, Assiut, Egypt
Fatma Abdel-Reheem, Faculty of Medicine; Assiut University, Assiut, Egypt
Mohamed A. Shahat, Department of Obstetrics and Gynecology, Faculty of Medicine; Assiut University, Assiut, Egypt

Abstract

Uterine rupture is a catastrophic obstetrical emergency with serious effects on both women and fetuses. Operative hysteroscopic procedures can add more risk factor for occurrence of this tragedy. Here, we report a case of spontaneous recurrent rupture uterus at 33 weeks of gestation in a 32 years old woman with previous history of hysteroscopic resection of submucous myoma after development of acute abdomen. Uterine repair of fundal rupture was performed through emergency exploratory laparotomy. Surgeons should explain to their patients the hazards of probable risk of recurrent and multiple uterine rupture in the future pregnancy and to document this discussion in the medical records before proceeding to operative hysteroscopic procedures.

 

URL

https://ir.uiowa.edu/pog_in_press/66