[Herniated amniotic sac through uterine dehiscence at the 30th gestational week after prior laparoscopic salpingectomy]

Márton Keszthelyi, Gergő Leipold, Lotti Lőczi, Marianna Török, Nándor Ács, Szabolcs Várbíró
Orvosi hetilap · 2023 · vol. 164(25) , pp. 988–992 · doi:10.1556/650.2023.32776 · PMID:37356016 · W4382011464
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A case report describes uterine dehiscence with herniated amniotic sac in a primigravida at 30 weeks following prior salpingectomy, suggesting that adequate suturing during such procedures may prevent subsequent pregnancy complications.

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Abstract

Uterine rupture is a rare complication during pregnancy which may even lead to the death of the mother and the fetus. In this report, the management of a herniated amniotic sac associated with uterine dehiscence is presented. A 25-year-old primigravida at 30 weeks with a history of a previous unilateral salpingectomy was transferred to our hospital with the potential diagnosis of a herniated amniotic sac, which was discovered during a routine ultrasound scan. The patient had no prior complaints or any other signs that would have indicated a serious condition during her pregnancy. She underwent an emergency cesarean section and a two-layer closure of the lesion. An adequate suture during laparoscopic salpingectomy provides prevention of uterine rupture during subsequent pregnancies. A medical history with a previous laparoscopic dehiscence should necessitate a more frequent sonographic observation during pregnancy. Orv Hetil. 2023; 164(25): 988-992.

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MeSH descriptors

Laparoscopy Laparoscopy Pregnancy Complications Uterine Rupture Uterine Rupture Uterine Rupture Uterine Rupture Adult Cesarean Section Cesarean Section Female Humans Pregnancy Salpingectomy Salpingectomy

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