UTERINE RUPTURE IN FIRST-TRIMESTER OR 2ND-TRIMESTER OF PREGNANCY AFTER IN-VITRO FERTILIZATION AND EMBRYO-TRANSFER

We report five cases of early rupture of cornual pregnancy with histor y of previous salpingectomy and cornual resection following in-vitro f ertilization (IVF) and embryo transfer, We discuss the predisposing fa ctors, diagnostic and therapeutic modalities in these patients, A high index of suspicion is required for an early diagnosis, It is imperati ve that the physicians who care for the patients be fully aware of the possibility of such a complication in a high risk population; therefo re, appropriate counselling and close follow-up might help to avoid su ch obstetrical catastrophes, by termination of pregnancy, either surgi cally or medically.