Caesarean scar pregnancy complicated by partial rupture in the second trimester: A case report

被引:0
作者
Garkhail, Prakriti [1 ,2 ]
Vinkesteijn, Astrid S. M. [1 ]
de Weerd, Sabina [1 ]
机构
[1] Albert Schweitzer Hosp, Dept Obstet & Gynaecol, Albert Schweitzerplaats 25, NL-3318 AT Dordrecht, Netherlands
[2] Univ Med Ctr Rotterdam, Erasmus MC Canc Inst, Dept Gynaecol Oncol, Dr Molewaterpl 40, NL-3015 GD Rotterdam, Netherlands
关键词
Caesarean; Scar; Pregnancy; Niche; Uterine; Rupture; INTERNAL ILIAC ARTERIES; ECTOPIC PREGNANCY; EMBOLIZATION; DIAGNOSIS; OCCLUSION;
D O I
10.1016/j.crwh.2024.e00665
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
This case report examines caesarean scar pregnancy, a rare but significant complication associated with increasing global caesarean rates. It explores diagnostic challenges, therapeutic interventions, and the importance of a multidisciplinary approach. This report details the case of a patient at 13 + 4 weeks of amenorrhea presenting with severe abdominal pain, diagnosed with caesarean scar pregnancy and scar dehiscence causing major haemorrhage. Emergency surgery and interventional radiology were employed for pregnancy evacuation and haemorrhage control. This report emphasizes niche pregnancy complexities and underscores the need for evidence-based practices to mitigate maternal morbidity and mortality. Additionally, it emphasizes the need for training in niche detection by transvaginal ultrasound for all clinicians encountering patients with early pregnancies.
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页数:4
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