Single article

DOI: 10.47026/2413-4864-2021-3-26-34

Shchepelev M.E., Deripasko T.V., Sidorova А.А., Drandrova E.G., Moskvichev E.V., Leonteva T.Yu., Afanasev D.A.

A Clinical Case of an Undeveloped Pregnancy in a Uterine Scar After a Cesarean Section

Keywords: pregnancy in the uterine scar, ectopic pregnancy, cesarean section, undeveloped pregnancy

Over the past twenty-five years, the average age of a woman giving birth to the first child has grown significantly around the world. So, in Russia, currently, women begin to bring their reproductive function into action on average at the age of 26-35. This leads to the fact that obstetricians and gynecologists in their practice increasingly face with pregnancy and childbirth complicated by a uterine scar after a previous cesarean section or myomectomy. The formation of a uterine scar after any intervention entails the likelihood of long-term complications, such as a rupture of the uterus along the scar and pregnancy in the uterine scar. According to the latest clinical recommendations for ectopic pregnancy, pregnancy in the uterine scar has been added to the anatomical classification of ectopic pregnancies. The article describes a clinical case of an undeveloped pregnancy in the uterine scar after a cesarean section, it shows the difficulty of timely diagnosis of such pregnancy, which often results in improper management of patients and loss of fertility by women of childbearing age. In the described case, late diagnosis of pregnancy in the uterine scar necessitated organ-resecting surgery – extirpation of the uterus with fallopian tubes.

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About authors

Shchepelev Mikhail E.
Candidate of Medical Sciences, Head of Gynecology Department no. 1, Emergency Hospital, Russia, Cheboksary (shch-1962@mail.ru; ORCID: https://orcid.org/0000-0003-2431-9254)
Deripasko Tatyana V.
Chief Freelance Specialist in Obstetrics and Gynecology of Health Ministry of Chuvash Republic, Head of Obstetrical Distance Consulting Center – Obstetrician-Gynecologist, Presidential Perinatal Center, Russia, Cheboksary (ppc@med.cap.ru; ORCID: https://orcid.org/0000-0002-6824-9633)
Sidorova Anastasiya A.
Resident of the 1st year of Faculty and Hospital Therapy Department, Chuvash State University, Russia, Cheboksary (far.anastasiya@yandex.ru; ORCID: https://orcid.org/0000-0001-6559-8267)
Drandrova Elena G.
Obstetrician-Gynecologist of Gynecology Department no. 1, Emergency Hospital; Candidate of Medical Sciences, Associate Professor, Department of Normal and Topographic Anatomy with Operative Surgery, Chuvash State University, Russia, Cheboksary (drandrov@yandex.ru; ORCID: https://orcid.org/0000-0003-3341-3373)
Moskvichev Evgeny V.
Doctor of Medical Sciences, Professor, Department of Normal and Topographic Anatomy with Operative Surgery, Chuvash State University, Russia, Cheboksary (Moskvichev@rambler.ru; ORCID: https://orcid.org/0000-0002-2850-5487)
Leonteva Tatyana Yu.
Obstetrician-Gynecologist of Gynecology Department no. 1, Emergency Hospital, Russia, Cheboksary (leo.tani@yandex.ru; ORCID: https://orcid.org/0000-0003-2591-2447)
Afanasev Denis A.
Obstetrician-Gynecologist of Gynecology Department no. 1, Emergency Hospital, Russia, Cheboksary (bsmp@med.cap.ru; ORCID: https://orcid.org/0000-0003-4270-8018)

Article link

Shchepelev M.E., Deripasko T.V., Sidorova А.А., Drandrova E.G., Moskvichev E.V., Leonteva T.Yu., Afanasev D.A. A Clinical Case of an Undeveloped Pregnancy in a Uterine Scar After a Cesarean Section [Electronic resource] // Acta medica Eurasica. – 2021. – №3. P. 26-34. – URL: http://acta-medica-eurasica.ru/en/single/2021/3/4/. DOI: 10.47026/2413-4864-2021-3-26-34.