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DOI:10.3390/healthcare12100988 - Corpus ID: 269852059
@article{Zermano2024PrenatalDA, title={Prenatal Detection and Conservative Management of Uterine Scar Dehiscence in Patient with Previous Uterine Rupture and Multiple Surgeries—A Case Report}, author={Silvia Zermano and Giuseppina Seminara and Nadia Parisi and Valentina Serantoni and Martina Arcieri and Anna Biasioli and Monica Della Martina and Stefano Restaino and Giuseppe Vizzielli and Lorenza Driul}, journal={Healthcare}, year={2024}, volume={12}, url={https://api.semanticscholar.org/CorpusID:269852059}}
- Silvia Zermano, Giuseppina Seminara, L. Driul
- Published in Healthcare 1 May 2024
- Medicine
- Healthcare
A case of uterine dehiscence diagnosed by a pelvic ultrasound and magnetic resonance (MRI) at 24 weeks of gestation and confirmed intraoperatively at the caesarean section, which proves that women with severe endometriosis/adenomyosis are at a high risk of uterine rupture and scar dehiscence.
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The case presented adds to the body of evidence of uterine scar dehiscence in the first trimester and may help in early identification and management of this rare but life threatening condition.
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The findings suggest accurate discrimination between a simple scar dehiscence with the placenta underlying it andPlacenta accreta spectrum can be made on prenatal ultrasound if the pl pregnant woman is carefully examined for the vascular features unique to PAS.
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It may be useful to routinely assess the lower uterine segment scar of women with previous emergency CS using the available ultrasound facilities, however, more studies are needed before advocating for routine antenatal uterine scar thickness testing following emergency lower segment CS in low and middle-income settings.
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Although the outcomes in this case were uneventful, urgent delivery is required when uterine rupture is diagnosed and patients should be informed of the possibility of uterine ruptures during subsequent pregnancies.
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Scanning at appropriate intervals during pregnancy and accurate recognition of the ultrasonographic features of uterine scar dehiscence could be beneficial and help prevent maternal and neonatal morbidity and mortality.
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Figure 3. Laparoscopic view after surgery: eradication of deep pelvic endometriosis, bilateral ureterolysis, bladder shaving, excision of uterine adenomyoma, and segmental bowel resection using nerve-sparing technique.
Published in Healthcare 2024
Prenatal Detection and Conservative Management of Uterine Scar Dehiscence in Patient with Previous Uterine Rupture and Multiple Surgeries—A Case Report
Silvia ZermanoGiuseppina Seminara L. Driul
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