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.