Garkhail Prakriti, Vinkesteijn Astrid S M, de Weerd Sabina
Department of Obstetrics and Gynaecology, Albert Schweitzer hospital, Albert Schweitzerplaats 25, 3318 AT Dordrecht, the Netherlands.
Department of Gynaecologic Oncology, Erasmus MC Cancer Institute, University Medical Centre Rotterdam, Dr. Molewaterplein 40, 3015 GD Rotterdam, the Netherlands.
Case Rep Womens Health. 2024 Nov 12;44:e00665. doi: 10.1016/j.crwh.2024.e00665. eCollection 2024 Dec.
This case report examines caesarean scar pregnancy, a rare but significant complication associated with increasing global caesarean rates. It explores diagnostic challenges, therapeutic interventions, and the importance of a multidisciplinary approach. This report details the case of a patient at 13 + 4 weeks of amenorrhea presenting with severe abdominal pain, diagnosed with caesarean scar pregnancy and scar dehiscence causing major haemorrhage. Emergency surgery and interventional radiology were employed for pregnancy evacuation and haemorrhage control. This report emphasizes niche pregnancy complexities and underscores the need for evidence-based practices to mitigate maternal morbidity and mortality. Additionally, it emphasizes the need for training in niche detection by transvaginal ultrasound for all clinicians encountering patients with early pregnancies.
本病例报告探讨了剖宫产瘢痕妊娠，这是一种与全球剖宫产率上升相关的罕见但严重的并发症。报告探讨了诊断挑战、治疗干预措施以及多学科方法的重要性。本报告详细介绍了一名停经13 + 4周、出现严重腹痛的患者的病例，该患者被诊断为剖宫产瘢痕妊娠和瘢痕裂开导致大出血。采用了急诊手术和介入放射学方法来终止妊娠并控制出血。本报告强调了罕见妊娠的复杂性，并强调需要循证实践以降低孕产妇发病率和死亡率。此外，报告强调了所有诊治早孕患者的临床医生都需要接受经阴道超声检测罕见情况的培训。
