Recurrent Uterine Rupture After Laparoscopic Surgery for Interstitial Ectopic Pregnancy

Abstract

Background: Cornual uterine rupture is a serious condition with grave implications if not recognized and managed in time. While different approaches have been used for immediate management, the long-term complication of uterine rupture following management of interstitial pregnancy has not been extensively studied. Case: This article reports an unusual case of recurrent uterine rupture after laparoscopic treatment of interstitial pregnancy followed by a successful pregnancy. Results: The interstitial region healed well and the subsequent pregnancy. This patient underwent an elective cesearan section at 32 weeks' gestation and had a live birth. Conclusions: Although laparoscopic treatment achieves optimum results in interstitial pregnancies, more emphasis needs to be laid on techniques to preserve future fertility and prevent uterine rupture. (J GYNECOL SURG 28:169)