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Clinical and Experimental Obstetrics & Gynecology  2018, Vol. 45 Issue (4): 632-635    DOI: 10.12891/ceog4251.2018
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Pregnancy in the scar after myomectomy
J. Hudecová 1, *(), A. Hudec2, Z. Novotný 1, D. Slouka3
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
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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.
Key words:  Pregnancy in the scar after myomectomy      Ultrasound      Surgical treatment of ectopic pregnancy      MRI      Tachosil     
Published:  10 August 2018     
*Corresponding Author(s):  J. HUDECOVÁ     E-mail:  landsmanovaj@fnplzen.cz

Cite this article: 

J. Hudecová, A. Hudec, Z. Novotný, D. Slouka. Pregnancy in the scar after myomectomy. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(4): 632-635.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog4251.2018     OR     https://ceog.imrpress.com/EN/Y2018/V45/I4/632

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