• Liping Shao, Zhilong Yang, Huifang Yan, and Rong Xu.
• Department of Obstetrics and Gynecology, Changzhou Cancer Hospital Changzhou Fourth People's Hospital, Changzhou, Jiangsu, China.
• Medicine (Baltimore). 2024 Mar 8; 103 (10): e37428e37428.

RationaleUterine rupture during pregnancy poses significant risks to both the fetus and the mother, resulting in high mortality and morbidity rates. While awareness of uterine rupture prevention after a cesarean section has increased, insufficient attention has been given to cases caused by pregnancy following hysteroscopy surgery.Patient ConcernsWe report 2 cases here, both of whom had a history of hysteroscopy surgery and presented with severe abdominal pain during pregnancy.DiagnosesBoth patients had small uterine ruptures, with no significant abnormalities detected on ultrasonography. The diagnosis was confirmed by a CT scan, which showed hemoperitoneum.InterventionsWe performed emergency surgeries for the 2 cases.OutcomesWe repaired the uterus in 2 patients during the operation. Both patients recovered well. The children survived. No abnormalities were detected during their follow-up visits.LessonsAttention should be paid to the cases of pregnancy after hysteroscopy.Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.

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