Multifactorial Intraoperative Uterine Scar Dehiscence: A Case Report
Now-a-days, the number of Caesarean section (c-section) has increased, also the complications of c-section has increased. Obstetricians often encounter uterine scar dehiscence during delivery by c-section. However, it is rare to find a uterine scar dehiscence which is extending over one-third of the...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2023-04-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/17731/60989_CE[Ra1]_F(IS)_PF1(HB_SS)_PN(SS).pdf |
| _version_ | 1797846281212657664 |
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| author | Thacker Shriya Himmat Sadhana Prasad Kaware |
| author_facet | Thacker Shriya Himmat Sadhana Prasad Kaware |
| author_sort | Thacker Shriya Himmat |
| collection | DOAJ |
| description | Now-a-days, the number of Caesarean section (c-section) has increased, also the complications of c-section has increased. Obstetricians often encounter uterine scar dehiscence during delivery by c-section. However, it is rare to find a uterine scar dehiscence which is extending over one-third of the anterior uterine wall and it is yet to build the best surgical approach for repairing this rare complication of c-section or a torn anterior wall during delivery. Herein, a 23-year-old female who is Rhesus factor (Rh) negative G2P1L1 with seven months of amenorrhea came with chief complaints of pain in the abdomen since morning. On ultrasonography, severe oligohydramnios was diagnosed as Amniotic Fluid Index (AFI) was >5 cm. Hence, the patient was taken for emergency Lower Segment Caesarean Section (LSCS), Lower Uterine Section (LUS) was papery thin, uterovaginal fold of peritoneum was opened and the bladder was pushed down. One-third of the anterior uterine wall was involved. LUS was sutured using vicryl No. 1 and complete haemostasis was achieved. As uterine scar dehiscence is not preventable, efforts should be made to manage it efficiently and repair the myometrium safely. |
| first_indexed | 2024-04-09T17:52:25Z |
| format | Article |
| id | doaj.art-4a4a02f9615e4c1a980f5c52cfe0f6f7 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-09T17:52:25Z |
| publishDate | 2023-04-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-4a4a02f9615e4c1a980f5c52cfe0f6f72023-04-15T10:07:21ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2023-04-01174QD01QD0210.7860/JCDR/2023/60989.17731Multifactorial Intraoperative Uterine Scar Dehiscence: A Case ReportThacker Shriya Himmat0Sadhana Prasad Kaware1Intern, Department of Obstetrics and Gynaecology, Krishna Institute of Medical Sciences, Karad, Maharashtra, India.PG Resident, Department of Obstetrics and Gynaecology, District Hospital Satara, Maharashtra, India.Now-a-days, the number of Caesarean section (c-section) has increased, also the complications of c-section has increased. Obstetricians often encounter uterine scar dehiscence during delivery by c-section. However, it is rare to find a uterine scar dehiscence which is extending over one-third of the anterior uterine wall and it is yet to build the best surgical approach for repairing this rare complication of c-section or a torn anterior wall during delivery. Herein, a 23-year-old female who is Rhesus factor (Rh) negative G2P1L1 with seven months of amenorrhea came with chief complaints of pain in the abdomen since morning. On ultrasonography, severe oligohydramnios was diagnosed as Amniotic Fluid Index (AFI) was >5 cm. Hence, the patient was taken for emergency Lower Segment Caesarean Section (LSCS), Lower Uterine Section (LUS) was papery thin, uterovaginal fold of peritoneum was opened and the bladder was pushed down. One-third of the anterior uterine wall was involved. LUS was sutured using vicryl No. 1 and complete haemostasis was achieved. As uterine scar dehiscence is not preventable, efforts should be made to manage it efficiently and repair the myometrium safely.https://www.jcdr.net/articles/PDF/17731/60989_CE[Ra1]_F(IS)_PF1(HB_SS)_PN(SS).pdfanterior uterine walllower segment caesarean sectionoligohydramnios |
| spellingShingle | Thacker Shriya Himmat Sadhana Prasad Kaware Multifactorial Intraoperative Uterine Scar Dehiscence: A Case Report Journal of Clinical and Diagnostic Research anterior uterine wall lower segment caesarean section oligohydramnios |
| title | Multifactorial Intraoperative Uterine Scar Dehiscence: A Case Report |
| title_full | Multifactorial Intraoperative Uterine Scar Dehiscence: A Case Report |
| title_fullStr | Multifactorial Intraoperative Uterine Scar Dehiscence: A Case Report |
| title_full_unstemmed | Multifactorial Intraoperative Uterine Scar Dehiscence: A Case Report |
| title_short | Multifactorial Intraoperative Uterine Scar Dehiscence: A Case Report |
| title_sort | multifactorial intraoperative uterine scar dehiscence a case report |
| topic | anterior uterine wall lower segment caesarean section oligohydramnios |
| url | https://www.jcdr.net/articles/PDF/17731/60989_CE[Ra1]_F(IS)_PF1(HB_SS)_PN(SS).pdf |
| work_keys_str_mv | AT thackershriyahimmat multifactorialintraoperativeuterinescardehiscenceacasereport AT sadhanaprasadkaware multifactorialintraoperativeuterinescardehiscenceacasereport |