The relation between uterine scar determined by hysteroscopic procedures and acute abdomen during pregnancy. Case series

M.M. Cirstoiu, D.C. Secara, I.D. Secara, C.F. Tufan, R. Bohaltea, O. Munteanu

Rezumat: Acute abdomen during pregnancy is a plurietiological pathological entity that evolves rapidly, with increased morbidity and mortality of both mother and foetus. We report the management of two cases, with history of hysteroscopic procedures: a patient aged 35 years diagnosed with advanced abdominal pregnancy and a pregnant I gesta, I para, 29 weeks of gestation, with uterine rupture of a apparent intact uterus. The uterine scar caused by hysteroscopic procedures is a potential risk factor for the occurrence of advanced abdominal pregnancy and uterine rupture, two entities of acute abdomen during pregnancy. Unfortunately, the diagnosis and treatment of these conditions are not standardized. Therefore the management of a patient with ectopic abdominal pregnancy and uterine rupture patients with abdominal or uterine is a real challenge for the obstetrician.
Cuvinte cheie: uterine scar, hysteroscopic procedures, ectopic abdominal pregnancy, uterine rupture.