医学
剖腹手术
裂开
下腹痛
磁共振成像
盆腔疼痛
阴道出血
子宫内翻
外科
血肿
伤口裂开
放射科
子宫
怀孕
内科学
遗传学
生物
作者
Sevtap Arslan,Sevtap Arslan
出处
期刊:Current Medical Imaging Reviews
[Bentham Science]
日期:2022-12-01
卷期号:18 (14): 1529-1531
标识
DOI:10.2174/1573405618666220428103348
摘要
Introduction: The number of cesarean deliveries (CDs) has extremely increased in the last decades. Although it is a common and relatively safe surgical procedure, there are several potential complications. To the best of our knowledge, complete cervicouterine dissociation after several CDs has not been reported before in the medical literature. Case Report: A 28-year-old woman with a history of 6 CDs presented with abdominal pain and vaginal bleeding. The patient's most recent CD happened three weeks before the current presentation. Transabdominal ultrasonography examination and magnetic resonance imaging revealed the absence of continuity with the uterine cervix and corpus with associated pelvic hematoma. Laparotomy findings confirmed the imaging findings, and the displaced uterine corpus was removed with the evacuation of the associating pelvic hematoma. Conclusion: Uterine dehiscence and rupture are among the relatively common complications of CD. Uterine rupture and dehiscence are focal disorders, and complete cervicouterine dissociation has not been seen before. Multiple CDs are among the risk factors for complete cervicouterine dissociation, and abnormal uterine bleeding is the most common symptom. Imaging findings allow a quick and definitive diagnosis, and surgical intervention may be planned accordingly based on the imaging findings.
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