Successful outcome of pregnancy and delivery after surgical correction in a patient with complete uterine rupture
- 作者: Makiyan Z.N.1, Tetruashvili N.K.1, Adamyan L.V.1, Gus A.I.1, Bychenko V.G.1
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隶属关系:
- Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia
- 期: 编号 5 (2025)
- 页面: 187-192
- 栏目: Clinical Notes
- URL: https://journals.eco-vector.com/0300-9092/article/view/685560
- DOI: https://doi.org/10.18565/aig.2025.24
- ID: 685560
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Background: Complete uterine rupture is a serious complication that poses significant difficulties in reconstructive surgery. The results are frequently disappointing due to the high probability of postoperative scar defect and cervical canal atresia which eventually lead to hysterectomy.
Case report: The present case report details a rare clinical observation of a favorable outcome of pregnancy and childbirth as a result of surgical treatment, namely uterocervical junction after complete detachment of the uterus from the cervix. Magnetic resonance imaging was used for the diagnosis and preoperative modelling of the anatomy of the internal genitalia. Operative treatment was completely performed through laparoscopic access. There were the following important issues: mobilization and anatomization of the separated (dislocated) segments of the cervix and uterus, excision of scar tissue, suturing through all layers of myometrium, matching of segments and reconstitution of uterine anatomy. The regeneration period of the postoperative scar was 12 months. The patient became pregnant 6 months after she stopped taking contraception and underwent progesterone support and Arabin pessary placement. The patient underwent caesarean section at 35 weeks gestation after a course of prophylaxis for fetal respiratory distress syndrome. No visible defects were found during the exploration of the postoperative scar area.
Conclusion: The presented rare clinical observation of complete uterine rupture due to severe trauma showed the high informative value of imaging diagnosis before planning surgery. Reconstructive surgery, therapy aimed at prolonging pregnancy, and timely delivery contributed to the successful outcome, resulting in the birth of a healthy baby.
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作者简介
Zograb Makiyan
Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia
编辑信件的主要联系方式.
Email: makiyan@mail.ru
ORCID iD: 0000-0002-0463-1913
Dr. Med. Sci., Leading Researcher at the Department of Operative Gynecology
俄罗斯联邦, MoscowNana Tetruashvili
Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia
Email: tetrauly@mail.ru
ORCID iD: 0000-0002-9201-2281
Dr. Med. Sci., Head of the 2nd Obstetric Department of Pregnancy Pathology
俄罗斯联邦, MoscowLeyla Adamyan
Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia
Email: adamyanleila@gmai.com
ORCID iD: 0000-0002-3253-4512
Dr. Med. Sci., Professor, Academician of the Russian Academy of Sciences, Head of the Gynecological Department
俄罗斯联邦, MoscowAleksandr Gus
Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia
Email: aleksandr_gus@mail.ru
ORCID iD: 0000-0003-1377-3128
Dr. Med. Sci., Professor, Chief Researcher at the Department of Ultrasound and Functional Diagnostics
俄罗斯联邦, MoscowVladimir Bychenko
Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia
Email: v_bychenko@yandex.ru
ORCID iD: 0000-0002-1459-4124
PhD, Head of the Department of Radiation Diagnostics
俄罗斯联邦, Moscow参考
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