A case of uterine rupture in second term delivery after septum resection-Reference-Cited by-同舟云学术

A case of uterine rupture in second term delivery after septum resection

Published:2022-12-16 Issue:1 Volume:8 Page:5-9
ISSN:2582-0249
Container-title:Journal of Case Reports and Images in Obstetrics and Gynecology
language:en
Short-container-title:J Case Rep Images Obstet Gynecol

Author:

Huttler Alexandra¹,Kelly Maureen²

Affiliation:

1. Physician, Department of Obstetrics and Gynecology, Pennsylvania Hospital, 2 Pine East, 800 Spruce Street, Philadelphia, PA, USA

2. Attending Physician, Society Hill Reproductive Medicine, 822 Pine Street, Suite 4B, Philadelphia, PA, USA

Abstract

Introduction: The decision to resect a uterine septum remains individualized. Hysteroscopic approach is the gold standard for uterine septum resection. Uterine rupture in subsequent pregnancy is a known but rare complication without identified methods of prevention. Case Report: A 32-year-old woman underwent uncomplicated hysteroscopic uterine septum resection followed by uncomplicated term vaginal delivery, with uterine rupture and intrauterine fetal demise at 38 weeks gestational age in the subsequent pregnancy. Conclusion: Term uterine rupture is possible when the only history of uterine surgery is hysteroscopic septum resection, even with an intervening delivery. Providers should have a low threshold to initiate diagnostic evaluation with fetal or maternal distress in pregnancy after any uterine surgery. Modifiable risk factors for uterine rupture after septum resection may include residual septa, short interval between surgery and pregnancy, and labor induction methodology. Providers should consider these factors when counseling regarding the risks and benefits of resection.

Publisher

Edorium Journals Pvt. Ltd.

Subject

General Engineering

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