چاپ صفحه |  صفحه نخست سامانه |  چکیده مقاله |  نویسندگان |  دانلود مقاله | دانشگاه علوم پزشکی تبریز |
| Abstract A bicornuate uterus can have adverse effects on fertility and obstetric outcomes, which may be improved through correction surgery. Accordingly, uterine rupture as a life-threatening condition for both mother and fetus is the major complication associated with the surgical repair of a bicornuate uterus. This study reported a 29-year-old mother having twin pregnancy following in vitro fertilization (IVF) and presented with sudden onset of acute abdominal pain at week 33 of gestational age. She also had a history of Strassman metroplasty for a bicornuate uterus. Besides, her primary vital signs measured were unstable; therefore, she was admitted with no delay. Then, she underwent an emergency laparotomy with the suspected uterine rupture. Massive intraperitoneal hemorrhage in addition to entirely ruptured uterus was seen upon opening the peritoneal cavity. As well, the two live fetuses, left in the upper abdominal cavity, were removed from the abdominal cavity and the uterus was repaired with interrupted sutures. Finally, the intensive resuscitation of both fetuses and the mother began immediately. It was concluded that the surgical repair of a bicornuate uterus was associated with better pregnancy outcomes and higher live birth rates; however, more regular prenatal care and timed preterm delivery were needed to mitigate the complications particularly at an advanced gestational age due to excessive distension of the uterus and the possibility of rupture of the previous surgical site, as observed in this case. |
| نویسنده | نفر چندم مقاله |
|---|---|
| فاطمه طباطبایی | اول |
| مریم محمدی یوشانلویی | دوم |
| نام فایل | تاریخ درج فایل | اندازه فایل | دانلود |
|---|---|---|---|
| published article.pdf | 1400/01/01 | 256344 | دانلود |
