Introduction: Minimally invasive gynecological surgery such as hysteroscopy has a small risk of complications. These include uterine perforation (with or without adjacent pelvic organ lesion), bleeding and infection, and are more common in the presence of risk factors such as smoking, history of pelvic inflammatory disease (PID) and endometriosis.
Case Presentation: A patient submitted to a diagnostic hysteroscopy with no immediate complications was admitted five days later to the emergency department in septic shock.
We describe a rare case report of unscarred uterus rupture (UR) diagnosed in the puerperium after a vacuum extraction (VE) delivery of a healthy newborn. In this instance, no risk factors were found apart from the use of VE in the setting of prolonged deceleration. The suspicion of the diagnosis was made because of the patient's constant distressing abdominal pain with peritoneal signs as well as a drop in haemoglobin.
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