Rare obstetric conditions
Background: The nonspecific clinical presentations and the lack of an algorithm for early diagnosis of the causes of acute abdomen in pregnancy lead to a high percentage of errors, which increases a timeout before surgical treatment of patients.Yashchuk A.G., Fatkullina D.A., Dautova L.A., Battalova G.Yu., Mingareeva K.N., Berg E.A.
Case report: This paper describes 3 clinical cases of acute emergency pathology during pregnancy. The first case presents ovum ingrowth into the scar bed in the early stages of pregnancy; the second case deals with uterine rupture along the scar after a history of laparoscopic tubectomy; the third case shows adnexal torsion.
Conclusion: At present, there are no clear diagnostic criteria, nor is a treatment policy chosen for rare obstetric conditions. It is necessary to elaborate an algorithm for managing patients with acute emergency pathology in pregnancy. This approach will be able to reduce the time of examination, to increase the accuracy of diagnosing gynecologic pathology, and to decrease the number of diagnostic operations.
Keywords
acute abdomen
pregnancy
uterine scar rupture
placenta increta
adnexal torsion
References
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Received 23.06.2022
Accepted 15.08.2022
About the Authors
Alfia G. Yashchuk, Dr. Med. Sci., Professor, Head of the Department of Obstetrics and Gynecology with the course of IAPE, Bashkir State Medical University, Ministry of Health of Russia, https://orcid.org/0000-0003-2645-1662, 450008, Russia, Ufa, Lenina str., 3.Dinara A. Fatkullina, post-graduate student at the Department of Obstetrics and Gynecology with the course of IAPE, Bashkir State Medical University, Ministry of Health of Russia, +79373230387, mukhamadzhanova91@gmail.com, https://orcid.org/0000-0002-9615-2134, 450008, Russia, Ufa, Lenina str., 3.
Liana A. Dautova, PhD, Associate Professor at the Department of Obstetrics and Gynecology with the course of IAPE, Bashkir State Medical University, Ministry of Health of Russia, https://orcid.org/0000-0002-2935-8378, 450008, Russia, Ufa, Lenina str., 3.
Gyuzel Yu. Battalova, Dr. Med. Sci., Professor at the Department of Obstetrics and Gynecology with the course of the IAPE, Bashkir State Medical University, Ministry of Health of Russia, https://orcid.org/0000-0002-1641-9952, 450008, Russia, Ufa, Lenina str., 3.
Karina N. Mingareeva, PhD, Teaching Assistant at the Department of Obstetrics and Gynecology with the course of IAPE, Bashkir State Medical University, Ministry of Health of Russia, https://orcid.org/0000-0001-9125-2614, 450008, Russia, Ufa, Lenina str., 3.
Eduard A. Berg, PhD, Teaching Assistant at the Department of Obstetrics and Gynecology with the course of IAPE, Bashkir State Medical University, Ministry of Health of Russia, https://orcid.org/0000-0002-2028-7796, 450008, Russia, Ufa, Lenina str., 3.
Corresponding author: Dinara A. Fatkullina, mukhamadzhanova91@gmail.com
Authors’ contributions: Yashchuk A.G., Fatkullina D.A., Dautova L.A. – review of publications on the topic of the article; analysis of the findings; writing the text of the manuscript; Battalova G.Yu., Mingareeva K.N., Berg E.A. – development of the design of the investigation; obtaining the data to be analyzed.
Conflicts of interest: The authors declare that there are no possible conflicts of interest.
Funding: The investigation has not been sponsored.
Patient Consent to Publication. The patients have signed an informed consent form to the publication of their data and illustrations.
For citation: Yashchuk A.G., Fatkullina D.A., Dautova L.A., Battalova G.Yu.,
Mingareeva K.N., Berg E.A. Rare obstetric conditions.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2022; 12: 195-200 (in Russian)
https://dx.doi.org/10.18565/aig.2022.144
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