UTERINE RUPTURE AT DELIVERY AFTER OPERATI VE HYSTEROSCOPY

Two cases of obstetrical uterine rupture after operative hysteroscopy without perforation are described, One was treated for uterus septus, the other one for synechia, However, the uterus could have been fragil ized in both cases: one had been perforated by a uterine device, the o ther case had a past history of repeated curetage. A review of the lit erature shows 7 other similar cases, published over last ten years, 6 of them having a past history of perforation during the operative hyst eroscopy (5 cases) or by an intra-uterine device. These obstetrical co mplications, although rare, can lead to consider a uterus treated by h ysteroscopy as being at risk for obstetrical rupture.