Uterine Rupture in Third Trimester of Pregnancy Following Cornual Resection Due to Ectopic Pregnancy

Abstract

Uterine rupture during pregnancy is a critical obstetric complication associated with maternal and fetal mortality and morbidity. The risk is increased in patients with a history of previous uterine surgery including cesarean section, myomectomy, salpingectomy, as well as uterine and placental anomalies and polyhydramnios. It can also occur spontaneously. We present a case of uterine rupture in the early third trimester in a woman who had undergone previous laparoscopic removal of the left fallopian tube due to sactosalpinx and laparotomic removal of left uterine horn due to ectopic pregnancy.

Case of Cornual Uterine Rupture in Subsequent Pregnancy Following Laparoscopic Removal of Cornual Ectopic Pregnancy

“…There are several case reports of uterine rupture in the third trimester following cornual resection due to ectopic pregnancy. Košec et al (2021) have published a case of uterine rupture at 32 weeks following a laparotomy repair to interstitial pregnancy, which had been preceded by a laparoscopic salpingectomy 5 years prior [ 5 ]. A similar case was presented by Abbas et al (2016) concerning cornual rupture at 39 weeks of gestation with a history of laparoscopic removal of ectopic pregnancy [ 6 ].…”