{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T17:38:47Z","timestamp":1773337127993,"version":"3.50.1"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,2,6]]},"abstract":"<jats:p>Uterine perforation during hysteroscopic operative procedures is a potential complication well known to gynaecologists. Uterine septa are a commonly encountered M\u00fcllerian anomaly related to pregnancy loss and infertility. Hysteroscopic resection of septa has shown to improve pregnancy outcome. There are limited case reports of uterine rupture in subsequent pregnancies after hysteroscopic septal resection. Our patient had a hysteroscopic septal resection done a year prior which was complicated by a uterine fundal perforation, left to spontaneously heal after immediate sealing with cautery. The patient conceived spontaneously soon after and underwent an emergency caesarean section for severe pre-eclampsia. Intraoperatively, after removal of the placenta, we discovered a 3 cm symmetrical circular defect at the fundus of the uterus with no myometrium or serosa. The potentially disastrous consequences of this silent uterine rupture were mitigated due to another life-threatening condition which prevented the onset of labour.<\/jats:p>","DOI":"10.1136\/bcr-2017-222075","type":"journal-article","created":{"date-parts":[[2018,2,22]],"date-time":"2018-02-22T14:30:22Z","timestamp":1519309822000},"page":"bcr-2017-222075","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["A womb like a broken heart"],"prefix":"10.1136","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8889-7550","authenticated-orcid":false,"given":"Amenda Ann","family":"Davis","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,2,22]]},"reference":[{"key":"2025042702544920000_2018.feb21_2.bcr-2017-222075.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2004.10.010"},{"key":"2025042702544920000_2018.feb21_2.bcr-2017-222075.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(00)00865-6"},{"key":"2025042702544920000_2018.feb21_2.bcr-2017-222075.3","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmr028"},{"key":"2025042702544920000_2018.feb21_2.bcr-2017-222075.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(99)00480-X"},{"key":"2025042702544920000_2018.feb21_2.bcr-2017-222075.5","doi-asserted-by":"crossref","first-page":"1635","DOI":"10.1016\/S0002-9378(94)70334-5","article-title":"A hospital review of advanced gynecologic endoscopic procedures","volume":"170","author":"Smith","year":"1994","journal-title":"Am J Obstet Gynecol"},{"key":"2025042702544920000_2018.feb21_2.bcr-2017-222075.6","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1007\/s00404-009-1336-1","article-title":"Reproductive outcome following hysteroscopic septal resection in patients with infertility and recurrent abortions","volume":"283","author":"Roy","year":"2011","journal-title":"Arch Gynecol Obstet"},{"key":"2025042702544920000_2018.feb21_2.bcr-2017-222075.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2012.10.022"},{"key":"2025042702544920000_2018.feb21_2.bcr-2017-222075.8","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1016\/S0301-2115(02)00242-7","article-title":"Spontaneous uterine rupture with amniotic sac protrusion at 28 weeks subsequent to previous hysteroscopic metroplasty","volume":"107","author":"Conturso","year":"2003","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"2025042702544920000_2018.feb21_2.bcr-2017-222075.9","first-page":"827","article-title":"Third-trimester uterine rupture following hysteroscopic uterine perforation","volume":"81","author":"Howe","year":"1993","journal-title":"Obstet Gynecol"},{"key":"2025042702544920000_2018.feb21_2.bcr-2017-222075.10","doi-asserted-by":"crossref","first-page":"618","DOI":"10.1016\/S0015-0282(01)03222-8","article-title":"Uterine rupture after hysteroscopic resection of uterine septum","volume":"77","author":"Kerimis","year":"2002","journal-title":"Fertil Steril"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-222075","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T09:54:58Z","timestamp":1745747698000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-222075"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2,22]]},"references-count":10,"alternative-id":["10.1136\/bcr-2017-222075"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-222075","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,2,22]]}}}