A Case of Spontaneous Uterine Fundus Rupture in Term Pregnancy: As A Risk Factor of Septum Resection Operation

Uterine septum is the most common Mullerian anomaly. Hysteroscopic surgeries offer increased fertility rates caused by Mullerian anomalies. Uterine rupture after hysteroscopic septum resection is a rare complication with a reported incidence of approximately 1-2,7%. Uterine rupture in pregnancy is a life-threatening complication. The primary risk factors for uterine rupture after a previous cesarean birth are previous uterine rupture. Also hysteroscopic surgeries such as septum resection are known risk factors for uterine rupture in pregnancy following the operation. In this report, a patient with a history of hysteroscopic septum resection due to uterine septum presented to our hospital at 37 weeks of gestation due to spontaneous premature rupture of membranes. After the procedure, the patient, who had her first pregnancy, but she had a history of previous cesarean section, was taken to emergency cesarean section. On observation, uterine rupture at the fundus level, which can be considered as a late complication of septum resection, was detected. In this case, we aimed to emphasize uterine rupture, which is an important complication that may occur in pregnancies after a history of septum resection. In rarely, uterine rupture may occur in pregnancies after hysteroscopic resection of the uterine septum. But there is no consensus on the management of pregnancies after hysteroscopic operations. Until more reliable methods are available, patients should be informed about the possible symptoms of uterine rupture and the physician should be aware of fetal and maternal well-being.