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

A bilateral cornual uterine dehiscence is reported, which occurred 14 weeks after in-vitro fertilization (IVF) in a patient having a medical history o f previous bilateral salpingectomy via laparoscopy. Uterine rupture is a ra re obstetric complication usually occurring during the third trimester of p regnancy within a uterus which has previously undergone an operation. Ectop ic pregnancy is a well known complication of IVF, Post-salpingectomy cornua l localization with rupture has also been published. Possible causes are di scussed and the attention of the counselling physician is directed to the n ecessary 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.