Successful tubal reimplantation after rupture of the uterus.

A 29-year-old woman with primary infertility caused by bilateral isthmical tubal block was operated upon with bilateral cornual resection and tubal implantation. After one uncomplicated childbirth a second fullterm pregnancy ended in fetal catastrophe: the uterus ruptured at both sites of tubal implantation and a stillborn fetus was delivered by emergency cesarean section. One oviduct was detached from the uterus and the other one had to be removed. However, the maternal condition never became critical. Later on, a second tubal reimplantation was performed on the remaining side, and after a first-trimester spontaneous abortion a second healthy infant was born at elective cesarean section.