Uterine rupture during labour after hysteroscopic myomectomy

Abstract

In this case a patient with submucous fundal fibroid subsequently underwent hysteroscopic myomectomy. During the procedure the uterus was perforated and laparoscopy was performed. Bipolar coagulation was applied at the edges of the perforation to secure haemostasis. The patient 5 years later became pregnant and was admitted in labour at 41 weeks' gestation. She required an emergency laparotomy for fetal bradycardia. A live baby was delivered through a lower segment incision. On inspection of the uterus a circular defect was noted at the fundus. The uterus was repaired and haemostasis was eventually achieved. The lower segment was closed separately. The postoperative course, for both mother and baby was satisfactory.