IMR Press / CEOG / Volume 45 / Issue 4 / DOI: 10.12891/ceog4251.2018

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 46 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Case Report
Pregnancy in the scar after myomectomy
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1 Department of Gynaecology and Obstetrics, Faculty of Medicine in Pilsen, Charles University, Pilsen, Czech Republic
2 Genetika Ltd., Pilsen, Czech Republic
3 Department of Otorhinolaryngology, Faculty of Medicine in Pilsen, Charles University, Pilsen, Czech Republic
Clin. Exp. Obstet. Gynecol. 2018, 45(4), 632–635; https://doi.org/10.12891/ceog4251.2018
Published: 10 August 2018
Abstract

A 33-year-old female after the laparoscopic myomectomy in 2013 was hospitalized for suspected pregnancy in the scar after myomectomy in the 12th week of pregnancy. After admission to the hospital, an ultrasound examination and subsequent magnetic resonance imaging confirmed the diagnosis. Due to the finding, the patient was prescribed surgical intervention. The laparoscopy was performed and due to the interoperating performance, it was converted to laparotomy with evacuation of fetal eggs, by excision of the edges of the myometrium, and the suture of the wall of the uterine. The operation was complicated by excessive blood loss and coagulation disorder, which was dealt with in cooperation with an anesthesiologist. The postoperative period was without complications and the patient was released to home care on 7th postoperative day.
Keywords
Pregnancy in the scar after myomectomy
Ultrasound
Surgical treatment of ectopic pregnancy
MRI
Tachosil
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