Uterine defect in a twin pregnancy with a history of hysteroscopic fundal perforation

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A woman with a history of hysteroscopic resection of a uterine septum complicated by fundal perforation presented with a term twin pregnancy and spontaneous rupture of membranes. At cesarean, a 7-cm detect was present in the uterine fundus; the edges of the defect were scarred and without bleeding, suggesting a chronic process. Women with a history of fundal perforation during hysteroscopic resection of a uterine septum should be counseled regarding the possibility of a chronic defect and its potential implications. As more uterine septa are resected via the hysteroscope, our understanding of potential long-term complications will increase.

Original languageEnglish (US)
Pages (from-to)879-880
Number of pages2
JournalObstetrics and Gynecology
Issue number5 II
StatePublished - 1992


ASJC Scopus subject areas

  • Obstetrics and Gynecology

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