Uterine rupture during labor after combined treatment of infiltrative endometriosis: a case report


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Abstract

Background. Genital endometriosis (EM) is a chronic, progressive disease requiring surgical treatment in most cases. Obstetric complications of endometriosis are described less frequently, although they may pose a serious danger to the progression of pregnancy and the life of the patient. Description of the clinical case. The article describes a clinical case of incomplete uterine rupture during labor in a patient after combined treatment of infiltrative EM with laparoscopic excision of the infiltrative focus in the posterior wall of the uterus. Conclusion. This example clearly demonstrates that both the EM and the surgical interventions associated with serious obstetric complications during pregnancy and during labor. In this regard, pregnancy and labor in patients with genital EM, especially deep infiltrative forms, should be considered as high-risk states for the development of severe complications, which requires careful observation during pregnancy and special attention when choosing a method of delivery.

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About the authors

A. S Molotkov

Research Institute of Obstetrics, Gynecology and Reproductology n.a. D.O. Ott; St. Petersburg State University

St. Petersburg, Russia

M. I Yarmolinskaya

Research Institute of Obstetrics, Gynecology and Reproductology n.a. D.O. Ott; North-Western State Medical University n.a. I.I. Mechnikov

MD, Professor, Head of the Department of Endocrinology of Reproduction, Head of the Center «Diagnosis and Treatment of Endometriosis», Professor at the Department of Obstetrics and Gynecology 3, Mendeleyevskaya Line, St. Petersburg 199034, Russian

V. A Suchkova

Research Institute of Obstetrics, Gynecology and Reproductology n.a. D.O. Ott

St. Petersburg, Russia

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