[ La grossesse greffée sur cicatrice d’hystérotomie: Un piège diagnostique ]
Volume 61, Issue 2, July 2022, Pages 148–151
M. Azerki1, I. Chanaa2, M. H. Alami3, A. Filali4, and Rachid BEZAD5
1 Service de gynécologie-obstétrique, Hôpital de maternité et de santé reproductrice les orangers, CHU Ibn Sina, Rabat, Morocco
2 Service de gynécologie-obstétrique, Hôpital de maternité et de santé reproductrice les orangers, CHU Ibn Sina, Rabat, Morocco
3 Service de gynécologie-obstétrique, Hôpital de maternité et de santé reproductrice les orangers, CHU Ibn Sina, Rabat, Morocco
4 Service de gynécologie-obstétrique, Hôpital de maternité et de santé reproductrice les orangers, CHU Ibn Sina, Rabat, Morocco
5 Maternité Universitaire des Orangers, CHU Ibn Sina, Université Mohammed V, Rabat, Morocco
Original language: French
Copyright © 2022 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Pregnancy on scar is a rare clinical entity whose main complication remains hemorrhage which can be cataclysmic engaging the maternal vital prognosis. The diagnosis is essentially based on a thorough clinical and ultrasound examination. We report here the case of a 38-year-old patient with a tri-scar uterus, with a pregnancy of 08 SA, whose diagnosis of pregnancy on scar was not raised, and who was admitted into our structure for the management of a simple aborted pregnancy. An aspiration was proposed to the patient after a retention period of 04 weeks, during the act: the patient presented a massive hemorrhage, and a hysterectomy of hemostasis was performed because of the maternal vital prognosis that was at stake.
Author Keywords: scar, hysterotomy, hysterectomy, scarred uterus, hemorrhagia.
Volume 61, Issue 2, July 2022, Pages 148–151
M. Azerki1, I. Chanaa2, M. H. Alami3, A. Filali4, and Rachid BEZAD5
1 Service de gynécologie-obstétrique, Hôpital de maternité et de santé reproductrice les orangers, CHU Ibn Sina, Rabat, Morocco
2 Service de gynécologie-obstétrique, Hôpital de maternité et de santé reproductrice les orangers, CHU Ibn Sina, Rabat, Morocco
3 Service de gynécologie-obstétrique, Hôpital de maternité et de santé reproductrice les orangers, CHU Ibn Sina, Rabat, Morocco
4 Service de gynécologie-obstétrique, Hôpital de maternité et de santé reproductrice les orangers, CHU Ibn Sina, Rabat, Morocco
5 Maternité Universitaire des Orangers, CHU Ibn Sina, Université Mohammed V, Rabat, Morocco
Original language: French
Copyright © 2022 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Pregnancy on scar is a rare clinical entity whose main complication remains hemorrhage which can be cataclysmic engaging the maternal vital prognosis. The diagnosis is essentially based on a thorough clinical and ultrasound examination. We report here the case of a 38-year-old patient with a tri-scar uterus, with a pregnancy of 08 SA, whose diagnosis of pregnancy on scar was not raised, and who was admitted into our structure for the management of a simple aborted pregnancy. An aspiration was proposed to the patient after a retention period of 04 weeks, during the act: the patient presented a massive hemorrhage, and a hysterectomy of hemostasis was performed because of the maternal vital prognosis that was at stake.
Author Keywords: scar, hysterotomy, hysterectomy, scarred uterus, hemorrhagia.
Abstract: (french)
La grossesse sur cicatrice est une entité clinique rare dont la principale complication reste l’hémorragie qui peut être cataclysmique engageant le pronostic vital maternel. Le diagnostic repose essentiellement sur un examen clinique et échographique minutieux. Nous rapportons ici le cas d’une patiente de 38 ans, porteuse d’un utérus tri-cicatriciel, avec une grossesse de 08 SA, dont le diagnostic de grossesse sur cicatrice n’a pas été soulevé, et qui était admise dans notre structure pour prise en charge d’une simple grossesse arrêtée. Une aspiration a été proposée à la patiente après un délai de rétention de 04 semaines, au cours de l’acte: la patiente a présenté une hémorragie massive, et une hystérectomie d’hémostase a été réalisée devant le pronostic vital maternel qui était mis en jeu.
Author Keywords: cicatrice, hystérotomie, hystérectomie, utérus cicatriciel, hémorragie.
How to Cite this Article
M. Azerki, I. Chanaa, M. H. Alami, A. Filali, and Rachid BEZAD, “Pregnancy grafted on hysterectomy scar: A diagnostic trap,” International Journal of Innovation and Scientific Research, vol. 61, no. 2, pp. 148–151, July 2022.
