An old uterine rupture repaired 2 months postpartum using laparoscopy aided by hysteroscopy: A case report

With an incidence of 0.005%, unscarred uterine rupture is extremely rare. It is difficult to diagnose uterine rupture because of the absence of characteristic clinical symptoms. Here, we report a rare case of a 31-year-old woman with a uterine rupture that was accurately diagnosed and repaired by laparoscopy and hysteroscopy on postpartum day 69. The patient recovered uneventfully and was discharged on postoperative day 4. Three months after surgery, pelvic magnetic resonance imaging was performed, which confirmed wound repair. In women with a stable condition, laparoscopy with hysteroscopy could be an alternative choice for the diagnosis and treatment of suspected uterine rupture; however, more substantial studies are needed to confirm this surgical approach. (c) 2022 Zhejiang University. Publishing services by Elsevier B.V. on behalf of KeAi Communications Co. Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/ by-nc-nd/4.0/).