Third-trimester uterine rupture following hysteroscopic uterine perforation.

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.