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Current Medical Imaging

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ISSN (Print): 1573-4056
ISSN (Online): 1875-6603

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Case Report

Complete Cervicouterine Dissociation After Repeat Cesarean Sections: A Case Report

Author(s): Sevtap Arslan* and Yasin Sarıkaya

Volume 18, Issue 14, 2022

Published on: 06 July, 2022

Article ID: e280422204175 Pages: 3

DOI: 10.2174/1573405618666220428103348

Price: $65

Abstract

Introduction: The number of cesarean deliveries (CDs) has extremely increased in the last decades. Although it is a common and relatively safe surgical procedure, there are several potential complications. To the best of our knowledge, complete cervicouterine dissociation after several CDs has not been reported before in the medical literature.

Case Report: A 28-year-old woman with a history of 6 CDs presented with abdominal pain and vaginal bleeding. The patient's most recent CD happened three weeks before the current presentation. Transabdominal ultrasonography examination and magnetic resonance imaging revealed the absence of continuity with the uterine cervix and corpus with associated pelvic hematoma. Laparotomy findings confirmed the imaging findings, and the displaced uterine corpus was removed with the evacuation of the associating pelvic hematoma.

Conclusion: Uterine dehiscence and rupture are among the relatively common complications of CD. Uterine rupture and dehiscence are focal disorders, and complete cervicouterine dissociation has not been seen before. Multiple CDs are among the risk factors for complete cervicouterine dissociation, and abnormal uterine bleeding is the most common symptom. Imaging findings allow a quick and definitive diagnosis, and surgical intervention may be planned accordingly based on the imaging findings.

Keywords: Complete cervicouterine dissociation, cesarean delivery, ultrasonography, magnetic resonance imaging, cesarean section, surgical procedure.

Graphical Abstract

[1]
Moshiri M, Osman S, Bhargava P, Maximin S, Robinson TJ, Katz DS. Imaging evaluation of maternal complications associated with repeat cesarean deliveries. Radiol Clin North Am 2014; 52(5): 1117-35.
[http://dx.doi.org/10.1016/j.rcl.2014.05.010] [PMID: 25173662]
[2]
Silver RM, Landon MB, Rouse DJ, et al. National institute of child health and human development maternal-fetal medicine units network. Maternal morbidity associated with multiple repeat cesarean deliveries. Obstet Gynecol 2006; 107(6): 1226-32.
[http://dx.doi.org/10.1097/01.AOG.0000219750.79480.84] [PMID: 16738145]
[3]
Rosa F, Perugin G, Schettini D, et al. Imaging findings of cesarean delivery complications: Cesarean scar disease and much more. Insights Imaging 2019; 10(1): 98.
[http://dx.doi.org/10.1186/s13244-019-0780-0] [PMID: 31549248]
[4]
Clark EA, Silver RM. Long-term maternal morbidity associated with repeat cesarean delivery. Am J Obstet Gynecol 2011; 205(6) (Suppl.): S2-S10.
[http://dx.doi.org/10.1016/j.ajog.2011.09.028] [PMID: 22114995]
[5]
Guise JM, Denman MA, Emeis C, et al. Vaginal birth after cesarean: New insights on maternal and neonatal outcomes. Obstet Gynecol 2010; 115(6): 1267-78.
[http://dx.doi.org/10.1097/AOG.0b013e3181df925f] [PMID: 20502300]
[6]
Nisenblat V, Barak S, Griness OB, Degani S, Ohel G, Gonen R. Maternal complications associated with multiple cesarean deliveries. Obstet Gynecol 2006; 108(1): 21-6.
[http://dx.doi.org/10.1097/01.AOG.0000222380.11069.11] [PMID: 16816051]
[7]
La Rosa MF, McCarthy S, Richter C, Azodi M. Robotic repair of uterine dehiscence. JSLS 2013; 17(1): 156-60.
[http://dx.doi.org/10.4293/108680812X13517013317996] [PMID: 23743391]
[8]
Maldjian C, Milestone B, Schnall M, Smith R. MR appearance of uterine dehiscence in the post-cesarean section patient. J Comput Assist Tomogr 1998; 22(5): 738-41.
[http://dx.doi.org/10.1097/00004728-199809000-00014] [PMID: 9754109]
[9]
Ash A, Smith A, Maxwell D. Caesarean scar pregnancy. BJOG 2007; 114(3): 253-63.
[http://dx.doi.org/10.1111/j.1471-0528.2006.01237.x] [PMID: 17313383]
[10]
Rodgers SK, Kirby CL, Smith RJ, Horrow MM. Imaging after cesarean delivery: Acute and chronic complications. Radiographics 2012; 32(6): 1693-712.
[http://dx.doi.org/10.1148/rg.326125516] [PMID: 23065165]

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