Bibliographic Details
| Title: |
A cesarean section scar dehiscence during the first trimester of an intrauterine pregnancy: a rare case report and literature review. |
| Authors: |
Alhalak, Fadi1 (AUTHOR), Haddad, Sultaneh2,3 (AUTHOR), Nasseh, Gabriel4 (AUTHOR), Nasseh, Mira4 (AUTHOR), Marroush, Joud5 (AUTHOR), Abaza, Rami6 (AUTHOR), AlSafadi, Aya5 (AUTHOR), Hani, Majd Jehad Dakhalalah Bani7 (AUTHOR), Kabbabe, George Michael4 (AUTHOR) gmichael.kabbabe@gmail.com |
| Source: |
Journal of Surgical Case Reports. Jun2024, Vol. 2024 Issue 6, p1-6. 6p. |
| Subject Terms: |
*FIRST trimester of pregnancy, *ECTOPIC pregnancy, *CESAREAN section, *UTERINE rupture, *SCARS |
| Abstract: |
Uterine rupture is specified as a complete laceration of the uterine wall, including its serosa, leading to a connection between the endometrial and peritoneal chambers. It can occur in any stage of pregnancy and is considered a severe and perhaps fatal complication. A 35-year-old woman at 9 weeks of gestation with a medical history of five prior cesarean sections presented with lower abdominal pain that had lasted for 5 hr. We detected small amounts of free fluid in the Douglas pouch using ultrasound. Subsequently, a laparotomy revealed a cesarean scar dehiscence from a non-cesarean scar pregnancy. Patients who experience a uterine rupture may have vague symptoms, severe abdominal discomfort, abnormal uterine bleeding, and severe hemorrhagic shock, depending on their gestational age. Ultrasound imaging can be used to diagnose this fatal condition in addition to laparoscopy to immediately identify and treat the issue in urgent cases. [ABSTRACT FROM AUTHOR] |
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