PubMed · 1993 · 55 citations · 0 references
MedicineGynecologySurgeryHysteroscopyMaternal MortalityObstetric ComplicationsComplications Of HysteroscopyDiagnostic HysteroscopyHysteroscopic ResectionOperative HysteroscopyUterine PathologyUterine RuptureIntrapartum Uterine RuptureLong-term ComplicationsNeonatal Mortality RatesOperative Hysteroscopy ComplicationsRuptured UterusSeptal ResectionUterine Perforation RiskUterine Surgical Complications
BACKGROUND: As operative hysteroscopy becomes more common, long-term complications become apparent. CASE: A 29-year-old woman had a hysteroscopic uterine septum resection. This was complicated by a small fundal puncture. In the ensuing pregnancy, uterine rupture occurred at 33 weeks and resulted in neonatal mortality and maternal morbidity. CONCLUSION: Uterine rupture may follow uterine perforation at operative hysteroscopy; patients contemplating pregnancy after such perforation warrant appropriate counseling.