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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. (Obstet Gynecol 1993;81:827–9)