NON-DEVELOPING PREGNANCY IN THE UTERINE SCAR AFTER CAESAREAN SECTION: DIAGNOSTIC DIFFICULTIES


Дәйексөз келтіру

Толық мәтін

Ашық рұқсат Ашық рұқсат
Рұқсат жабық Рұқсат берілді
Рұқсат жабық Рұқсат ақылы немесе тек жазылушылар үшін

Аннотация

Background: The steady increase in the number of patients with a history of even one caesarean section leads to a rise in the frequency of such form of ectopic pregnancy, as pregnancy in the scar. The choice of the optimal organ-sparing treatment option for this category of patients depends on timely diagnosis. The formation of retrochorial hematoma that accompanies non-developing pregnancy in the scar in the early stages significantly complicates the diagnosis. Case report: The paper describes a clinical case of a reproductive-aged patient, in whom a long episode of menometrorrhagia ended with the formation of a round mass up to 8 cm in diameter in the area of the scar after cesarean section at the uterine isthmus. Erroneously diagnosed incomplete abortion during uterine pregnancy and uterine fibroids served as a reason for uterine curettage complicated by massive blood loss. The final diagnosis was established after pathological mass excision and metroplasty. Conclusion: A pathological uterine mass localized in the scar area after cesarean section, which is suddenly detected during abnormal uterine bleeding, requires the exclusion of pregnancy in this area. Correct diagnosis of non-developing pregnancy in the scar is the key to successful organ-sparing surgery.

Толық мәтін

Рұқсат жабық

Авторлар туралы

Mark KURTSER

N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia

Email: m.kurtser@mcclinics.ru
MD, PhD, Professor, Member of the Russian Academy of Sciences, Head of Department of Obstetrics and Gynecology, Pediatric Faculty

Irina BRESLAV

MD GROUP Clinical Hospital, MD PROJECT 2000

Email: irina_breslav@mail.ru
Dr. Med. Sci., Head of the Department of Obstetric Pathology of Pregnancy

Marina KOLOTILOVA

I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia

Email: kolotilovaml@hotmail.com
Dr. Med. Sci., Professor at the Human Pathology Department, Institute of Biodesign and Modeling of Complex Systems

Olga BARYKINA

MD GROUP Clinical Hospital, MD PROJECT 2000

Email: medslovar@mail.ru
pathologist, Head of the Department of Anatomic Pathology

Nikolay SKRYABIN

MD GROUP Clinical Hospital, MD PROJECT 2000

Email: hranitelkr@mail.ru
Pathologist at the Department of Pathology

Olga KURBATSKAYA

Lapino Clinical Hospital

Email: kuron682@gmail.com
MD, Head of the Department of Pathology of Pregnancy

Әдебиет тізімі

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