Spontaneous Uterine Rupture at 27th Week of Pregnancy After Hysteroscopic Metroplasty

Vijayalakshmi Dasari, Raajam Murali, Jyothi Menon, Devika Gunasheela

Abstract

Uterine rupture during pregnancy following hysteroscopic metroplasty, is a rare catastrophic event and an obstetric emergency, which results in poor maternal and fetal outcomes. The lack of specific symptoms makes diagnosing uterine rupture a challenging task.

A 37-year-old, fifth gravida, at 27 weeks of gestation presented with abdominal pain and bleeding per vaginum. An emergency cesarean section was performed for probable diagnosis of abruption and a neonate weighing 940 g was delivered. A 3-cm fundal laceration was observed and repaired primarily. The postoperative course was uneventful and the patient was discharged from the hospital in good health.

In conclusion, uterine rupture can also occur in the second trimester, as early as 27 weeks, following hysteroscopic metroplasty. So, the treating clinician should be vigilant enough to suspect, diagnose, and manage this dreadful complication.

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