scholarly journals Ectopic pregnancy in the uterus scar left after cesarean section: a clinical case

2018 ◽  
Vol 12 (2) ◽  
pp. 69-75
Author(s):  
A. N. Rybalka ◽  
A. N. Sulima ◽  
D. А. Beglitse ◽  
O. A. Mitrofanova ◽  
O. S. Latyshev ◽  
...  

The article describes a rare clinical case of ectopic pregnancy in the uterine scar left after a cesarean section. The case demonstrates the complexity of diagnosing this abnormality and managing such patients. The proposed approach allowed us to diagnose pregnancy in the uterus scar in due time, avoid hysterectomy, and preserve the reproductive organ.

2020 ◽  
Vol 6_2020 ◽  
pp. 141-146
Author(s):  
Barinov S.V. Barinov ◽  
Tirskaya Yu.I. Tirskaya ◽  
Kadtsyna T.V. Kadtsyna ◽  
Lazareva O.V. Lazareva ◽  
Chulovsky Yu.I. Chulovsky ◽  
...  

2020 ◽  
Vol 24 (2) ◽  
pp. 32-37
Author(s):  
Munira Zainidinovna Rakhatkulova ◽  
◽  
Daria Yurievna Jhurova ◽  
Victoria Dmitrievna Frosina ◽  
Zhanna Nikolaevna Telenkova ◽  
...  

Rupture of the uterus, or a violation of the integrity of its walls, is a severe manifestation of obstetric injury. The decrease in the frequency of uterine ruptures due to mechanical causes, careless obstetric interventions gave way to histopathic organ ruptures due to cesarean section surgery, conservative myomectomy, tubectomy. This publication presents a clinical case of the onset of rupture due to the failure of the suture on the uterus after an ectopic pregnancy in the interstitial section of the fallopian tube, diagnosed at 33 weeks of gestation and culminating in a newborn weighing 2 176 grams, 46 cm long in severe asphyxiation. The case presented is a rare severe obstetric pathology with a high risk of maternal and infant mortality.


2015 ◽  
Vol 18 (2) ◽  
pp. 191-195 ◽  
Author(s):  
Matthew Rheinboldt ◽  
Dan Osborn ◽  
Zach Delproposto

2018 ◽  
Vol 11 (5) ◽  
pp. 154-158
Author(s):  
RUSHANYA I. GABIDULLINA ◽  
◽  
GULFIRA N . KALIMULLINA ◽  
OLGA N . MIKHAYLOVA ◽  
MARAT A . MINGAZETDINOV ◽  
...  

2021 ◽  
pp. 26-34
Author(s):  
Mikhail E. Shchepelev ◽  
Tatyana V. Deripasko ◽  
Anastasiya A. Sidorova ◽  
Elena G. Drandrova ◽  
Evgeny V. Moskvichev ◽  
...  

Over the past twenty-five years, the average age of a woman giving birth to the first child has grown significantly around the world. So, in Russia, currently, women begin to bring their reproductive function into action on average at the age of 26-35. This leads to the fact that obstetricians and gynecologists in their practice increasingly face with pregnancy and childbirth complicated by a uterine scar after a previous cesarean section or myomectomy. The formation of a uterine scar after any intervention entails the likelihood of long-term complications, such as a rupture of the uterus along the scar and pregnancy in the uterine scar. According to the latest clinical recommendations for ectopic pregnancy, pregnancy in the uterine scar has been added to the anatomical classification of ectopic pregnancies. The article describes a clinical case of an undeveloped pregnancy in the uterine scar after a cesarean section, it shows the difficulty of timely diagnosis of such pregnancy, which often results in improper management of patients and loss of fertility by women of childbearing age. In the described case, late diagnosis of pregnancy in the uterine scar necessitated organ-resecting surgery – extirpation of the uterus with fallopian tubes.


2007 ◽  
Vol 29 (4) ◽  
pp. 475-476 ◽  
Author(s):  
I. Hassan ◽  
A. Lower ◽  
C. Overton

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Cuilan Li ◽  
Shiyan Tang ◽  
Xingcheng Gao ◽  
Wanping Lin ◽  
Dong Han ◽  
...  

Background. Diverticulum, one of the long-term sequelae of cesarean section, can cause abnormal uterine bleeding and increase the risk of uterine scar rupture. In this study, we aimed to evaluate the efficacy of combined laparoscopic and hysteroscopic repair, a newly occurring method, treating post-cesarean section uterine scar diverticulum.Methods. Data relating to 40 patients with post-cesarean section uterine diverticulum who underwent combined laparoscopic and hysteroscopic repair were retrospectively analyzed. Preoperative clinical manifestations, size of uterine defects, thickness of the lower uterine segment (LUS), and duration of menstruation were compared with follow-up findings at 1, 3, and 6 months after surgery.Results. The average preoperative length and width of uterine diverticula and thickness of the lower uterine segment were recorded and analyzed. The average durations of menstruations at 1, 3, and 6 months after surgery were significantly shorter than the preoperative one (p<0.05), respectively. At 6 months after surgery, the overall success improvement rate of surgery was 90% (36/40). Three patients (3/40 = 7.5%) developed partial improvement, and 1/40 (2.5%) was lost to follow-up.Conclusions. Our findings showed that combined treatment with laparoscopy and hysteroscopy was an effective method for the repair of post-cesarean section uterine diverticulum.


2021 ◽  
Vol Special issue (1) ◽  
pp. 57-61
Author(s):  
Venera Kurbaniyazova ◽  

The results of the conducted studies 102 of the manufacturer testify to the presence of essential clinical and echographic, immunological and morphological features of the "wealthy" or "insolvent" scar on the uterus after the cesarean section. The correlation analysis with the calculation of the Correlation coefficient of Gamma (G) indicates a statistically significant relationship between the average degree between the way of the delivery and the scar thickness (G = 0.55, p = 0.001), strong correlation between the ultrasound data (G = 0.74 , p = 0.002) and antibodies to type I collagen (G = 0.93, p = 0.003). Determining the level of antibodies to the type I collagen is the mostimportant criterion confirming the usefulness of the scar on the uterus.Keywords: cesarean section, uterine scar, pregnancy


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