BACKGROUND: Asherman's syndrome, or intrauterine synechiae, is characterized by partial or complete obliteration of the uterine cavity and/or the cervical canal. In order to preserve the integrity of the uterine cavity after correction, placement of an intrauterine Foley catheter with the balloon inflated is routinely performed. CASE: We report a case of uterine rupture and intraperitoneal bleeding presumably related to the pressure of the intrauterine balloon following hysteroscopic lysis of adhesions. CONCLUSION: We conclude that uterine rupture can occur because of intrauterine expansion of a Foley balloon after hysteroscopic treatment of intrauterine synechiae.
BACKGROUND:Asherman's syndrome, or intrauterine synechiae, is characterized by partial or complete obliteration of the uterine cavity and/or the cervical canal. In order to preserve the integrity of the uterine cavity after correction, placement of an intrauterine Foley catheter with the balloon inflated is routinely performed. CASE: We report a case of uterine rupture and intraperitoneal bleeding presumably related to the pressure of the intrauterine balloon following hysteroscopic lysis of adhesions. CONCLUSION: We conclude that uterine rupture can occur because of intrauterine expansion of a Foley balloon after hysteroscopic treatment of intrauterine synechiae.
Authors: Basim Fouad Abu Rafea; George Angelos Vilos; Ayman Mohamad Oraif; Stephen George Power; Jackie Hollet Cains; Angelos George Vilos Journal: Ann Saudi Med Date: 2013 Jan-Feb Impact factor: 1.526