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Human Reproduction, Vol. 14, No. 10, 2471-2473, October 1999
© 1999 European Society of Human Reproduction and Embryology

Spontaneous bilateral cornual uterine dehiscence early in the second trimester after bilateral laparoscopic salpingectomy and in-vitro fertilization: Case report

J. Inovay1,4, T. Marton1, J. Urbancsek1, Z. Kádár2, K. Altdorfer3 and Z. Papp1

1 1st Department of Obstetrics and Gynecology, Semmelweis University Medical School, Baross utca 27, H-1088 Budapest, 2 Department of Obstetrics and Gynecology, Bugát Pál Hospital, Dózsa György utca 22, Gyöngyös and 3 Institute of Anatomy, Semmelweis University Medical School, Tûzoltó utca 58, Budapest, Hungary

A bilateral cornual uterine dehiscence is reported, which occurred 14 weeks after in-vitro fertilization (IVF) in a patient having a medical history of previous bilateral salpingectomy via laparoscopy. Uterine rupture is a rare obstetric complication usually occurring during the third trimester of pregnancy within a uterus which has previously undergone an operation. Ectopic pregnancy is a well known complication of IVF. Post-salpingectomy cornual localization with rupture has also been published. Possible causes are discussed and the attention of the counselling physician is directed to the necessary awareness of such a complication in this high risk population. The reported case is an extreme rarity: a similar case has not been previously published in the literature.

Key words: in-vitro fertilization/laparoscopic salpingectomy/uterine rupture

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