Perinatal Management of Cesarean Scar Dehiscence at 21 Weeks of Gestation

Enengl S, Brautigam G, Binder H, Oppelt P, Altmann R and Mayer RB

Department of Gynecology and Obstetrics, Kepler University Hospital, Linz, Austria

^*Correspondance to: Enengl S 

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Abstract:

Uterine rupture following a uterine cesarean scar dehiscence is a potentially life-threatening complication for both mother and fetus. In this report we want to describe the case of a 33-year-old gravida 2 para 1, who was diagnosed with distinct cesarean scar dehiscence at 21 weeks of gestation. Surveillance with weekly repeated sonographic examinations of the lower uterine segment and clinical monitoring allowed continuation of the pregnancy for further six weeks to reach the point of fetal viability. As recent studies have revealed no clear evidence how to handle such sonographic findings, this case report demonstrates a possible way of perinatal management.

Keywords:

Cesarean section; Dehiscence; Uterine rupture; Ultrasonography; Lower uterine segment

Cite the Article:

Enengl S, Brautigam G, Binder H, Oppelt P, Altmann R, Mayer RB. Perinatal Management of Cesarean Scar Dehiscence at 21 Weeks of Gestation. Ann Clin Case Rep. 2018; 3: 1492.