# Third-trimester uterine rupture following previous salpingectomy for interstitial pregnancy: radiologic and surgical insights

## TL;DR

A rare case of third-trimester uterine rupture is reported in a patient with a history of uterine surgery, emphasizing the importance of early detection and timely intervention.

## Contribution

This case highlights the risk of uterine rupture following a short interpregnancy interval after laparoscopic salpingectomy with myometrial resection.

## Key findings

- Uterine rupture occurred at 30 weeks gestation after a laparoscopic salpingectomy for interstitial pregnancy.
- Short interpregnancy intervals after uterine surgery may increase the risk of uterine rupture.
- Imaging modalities are essential for early diagnosis and management of uterine rupture.

## Abstract

Uterine rupture in the third trimester is a rare but life-threatening obstetric emergency, with greater likelihood in pregnant patients with a history of uterine surgery.

We present a unique case of uterine rupture at 30 weeks gestation in a patient with a recent surgical history of laparoscopic salpingectomy involving myometrial resection for interstitial ectopic pregnancy, who conceived five months after the procedure. This case provides valuable radiologic and surgical insights, highlighting the importance of imaging modalities in diagnosis and the potential risks associated with short interpregnancy intervals following prior uterine surgery.

Early detection and prompt intervention are crucial for favorable maternal and fetal outcomes.