Ectopic pregnancy in the uterine scar after caesarean section
https://doi.org/10.29039/1992-6499-2023-2-126-131
Abstract
The localization of the ovum in the postoperative scar on the uterus is considered as a variant of ectopic pregnancy with a high risk of maternal morbidity and mortality. A clinical case of diagnosis and treatment of a patient with ectopic pregnancy in the uterine scar after caesarean section, complicated by uterine bleeding, is described in the article. The clinical features and ultrasound diagnostic criteria are provided. Justification of the treatment tactics with hysterectomy is provided, taking into account the status of the patient, changes in the postoperative uterine scar, concomitant gynecological pathology and willingness of the patient to accomplish the childbearing function.
About the Authors
S. P. Sinchikhin
Astrakhan State Medical University
Russian Federation
Russian Federation
S.P. Sinchikhin, Dr. Sci. (Med.), Professor, Head of Department
Astrakhan
R. V. Pavlov
Astrakhan State Medical University; Municipal Clinical Hospital No. 3 named after S.M. Kirov
Russian Federation
Russian Federation
R.V. Pavlov, Associate Professor of Department; Dr. Sci. (Med.), Head of the Gynecological Department
Astrakhan
I. V. Telegina
Municipal Clinical Hospital No. 3 named after S.M. Kirov
Russian Federation
Russian Federation
I.V. Telegina, Cand. Sci. (Med.), Assistant
Astrakhan
V. R. Pavlov
Stavropol State Medical University
Russian Federation
Russian Federation
V.R. Pavlov, student
Stavropol
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Review
For citations:
Sinchikhin S.P., Pavlov R.V., Telegina I.V., Pavlov V.R. Ectopic pregnancy in the uterine scar after caesarean section. Astrakhan medical journal. 2023;18(2):126–131. (In Russ.) https://doi.org/10.29039/1992-6499-2023-2-126-131
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