Endometriosis in an incompetent uterine scar after cesarean section


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Abstract

Background. Cesarean section is the most common executable surgical procedure in women of childbearing age. There is a steadily increasing global rate of cesarean section; hence the number of complications associated with this surgery is on the rise. One of these complications, which may lead to critical and sometimes fatal complications, is rupture of the uterus due to its scar incompetence following previous cesarean section. There has been recently more and more information about uterine scar endometriosis in women who have undergone cesarean section. Description. The paper gives an example of a post-abdominal delivery complication, such as endometriosis in the area of a postoperative uterine scar that has been found during metroplasty for uterine scar incompetence following cesarean section. Conclusion. An incompetent uterine scar after cesarean section is potentially at risk for endometriosis. Comprehensive diagnostic imaging studies, such as uterine Doppler ultrasound scanning, magnetic resonance imaging, and hysteroscopy, should be conducted if the possibility of uterine scar incompetence is suspected.

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About the authors

Vitaliy B. Tskhai

Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University

M.D., professor, Head of the Department of Perinatology, Obstetrics and Gynecology, Medical Faculty

Evgenia V. Levanovich

Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University

assistant of the Deaprtment of Perinatology, Obstetrics and Gynecology, Medical Faculty

Vasiliy G. Kelberg

Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University

assistant of the Department of Perinatology, Obstetrics and Gynecology, Medical Faculty

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