Department of Anesthesia, Faculty of Medicine, King Saud University, Riyadh, Saudi Arabia
Case Report
Conservative management of dehiscent scar discovered in the second trimester: A case report
Author(s): Salwa Neyazi, Haytham Hagsaad Abdelrahman Mohamed, Mohammed Ahmed Mohammed Abdel Razeq, Mohamed Mahmoud Abdel Aziz, Raghad Mohamed Albarrak, Shaden Fahad BinSaeedan, Reem Hassan Alamri, Asma Mohammed Almutairi and Ahmed Sherif Abdel Hamid Abdel Wahab*
Dehiscent scars and hematomas occurring on previous cesarean scars during pregnancy are uncommon. This situation poses a significant risk to both maternal and fetal health. This case report involves a 32-year-old woman, Gravida 3 Para 2, with two previous cesarean sections, who arrived at the emergency department at 25 weeks and 2 days of gestation, reporting lower abdominal pain. Upon examination, mild tenderness was noted in the right lower quadrant. An ultrasound revealed a hematoma measuring 8.4cm x 3.3cm, indicative of a dehiscent scar, which MRI confirmed. The patient was admitted for careful observation, and routine ultrasounds showed a reduction in the hematoma size, leading to the decision to extend the pregnancy. The initial dose of Dexamethasone was given and subsequently completed. An emergency cesarean section was conducted at 34 weeks and 2 days of gestation,.. Read More»