Shao L, Yang Z, Yan H, Xu R. Uterine rupture in patients with a history of hysteroscopy procedures: Case series and review of literature.
Medicine (Baltimore) 2024;
103:e37428. [PMID:
38457539 PMCID:
PMC10919467 DOI:
10.1097/md.0000000000037428]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/12/2023] [Revised: 02/01/2024] [Accepted: 02/07/2024] [Indexed: 03/10/2024] Open
Abstract
RATIONALE
Uterine rupture during pregnancy poses significant risks to both the fetus and the mother, resulting in high mortality and morbidity rates. While awareness of uterine rupture prevention after a cesarean section has increased, insufficient attention has been given to cases caused by pregnancy following hysteroscopy surgery.
PATIENT CONCERNS
We report 2 cases here, both of whom had a history of hysteroscopy surgery and presented with severe abdominal pain during pregnancy.
DIAGNOSES
Both patients had small uterine ruptures, with no significant abnormalities detected on ultrasonography. The diagnosis was confirmed by a CT scan, which showed hemoperitoneum.
INTERVENTIONS
We performed emergency surgeries for the 2 cases.
OUTCOMES
We repaired the uterus in 2 patients during the operation. Both patients recovered well. The children survived. No abnormalities were detected during their follow-up visits.
LESSONS
Attention should be paid to the cases of pregnancy after hysteroscopy.
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