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Scientific paper - Case study
Ektopična trudnoća u ožiljku carskog reza: prikaz slučaja
Medicina Fluminensis : Medicina Fluminensis, 54 (2018), 4; 413-417. https://doi.org/10.21860/medflum2018_207360
Dragičević, Petra; Gašparović Krpina, Milena

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Dragičević, P. & Gašparović Krpina, M. (2018). Ektopična trudnoća u ožiljku carskog reza: prikaz slučaja. Medicina Fluminensis : Medicina Fluminensis, 54. (4), 413-417. doi: 10.21860/medflum2018_207360

Dragičević, Petra and Milena Gašparović Krpina. "Ektopična trudnoća u ožiljku carskog reza: prikaz slučaja." Medicina Fluminensis : Medicina Fluminensis, vol. 54, no. 4, 2018, pp. 413-417. https://doi.org/10.21860/medflum2018_207360

Dragičević, Petra and Milena Gašparović Krpina. "Ektopična trudnoća u ožiljku carskog reza: prikaz slučaja." Medicina Fluminensis : Medicina Fluminensis 54, no. 4 (2018): 413-417. https://doi.org/10.21860/medflum2018_207360

Dragičević, P. and Gašparović Krpina, M. (2018) 'Ektopična trudnoća u ožiljku carskog reza: prikaz slučaja', Medicina Fluminensis : Medicina Fluminensis, 54(4), pp. 413-417. doi: 10.21860/medflum2018_207360

Dragičević P, Gašparović Krpina M. Ektopična trudnoća u ožiljku carskog reza: prikaz slučaja. Medicina Fluminensis : Medicina Fluminensis [Internet]. 2018 December 01 [cited 2024 November 23];54(4):413-417. doi: 10.21860/medflum2018_207360

P. Dragičević and M. Gašparović Krpina, "Ektopična trudnoća u ožiljku carskog reza: prikaz slučaja", Medicina Fluminensis : Medicina Fluminensis, vol. 54, no. 4, pp. 413-417, December 2018. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:258225. [Accessed: 23 November 2024]

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Metadata
Title (croatian)Ektopična trudnoća u ožiljku carskog reza: prikaz slučaja
Title (english)Caesarean scar pregnancy: case report
AuthorPetra Dragičević
AuthorMilena Gašparović Krpina
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Gynaecology and Obstetrics)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Gynecology and Obstetrics
Abstract (croatian)
Cilj: Prikazati slučaj bolesnice s ektopičnom trudnoćom u ožiljku carskog reza, opisati dijagnostički i terapijski postupak te analizirati korištenu i druge preporučene metode prekida trudnoće. Prikaz slučaja: Četrdesetogodišnja se bolesnica javila na ginekološki pregled radi utvrđivanja trudnoće, a pregledom transvaginalnim ultrazvukom postavila se sumnja na cervikalnu ektopičnu trudnoću radi čega je hospitalizirana. Ponovnim ultrazvučnim pregledom utvrđeno je kako je gestacijski mjehur lokaliziran na mjestu ožiljka prethodnog carskog reza. Radi mogućih komplikacija progresije ovakve trudnoće kao što su masivno krvarenje i ruptura uterusa, odlučilo se na prekid trudnoće medikamentnim putem mifepristonom i misoprostolom koji nije doveo do očekivanog ishoda. Naposljetku je učinjena histeroskopska evakuacija trudnoće s urednim postoperativnim tijekom bolesnice. Zaključak: Ektopičnu trudnoću u ožiljku carskog reza treba shvatiti kao životno ugrožavajuće stanje. Dijagnosticira se transvaginalnim ultrazvukom, a terapijski pristup može uključivati medikamentni prekid trudnoće protokolom s mifepristonom i misoprostolom ili metotreksatom ili kirurški najčešće histeroskopijom ili laparoskopijom. Cilj svih ovih postupaka jesu prekid trudnoće u svrhu terapije i maksimalno očuvanje fertiliteta i kvalitete života bolesnice po postupku.
Abstract (english)
Aim: To report a case of a patient with caesarean scar pregnancy, describe the diagnostic and therapeutic course and analyze used and other recommended methods. Case report: A 40-year-old female patient was examined by her gynecologist to evaluate pregnancy, but the transvaginal sonography lead to suspicion of cervical ectopic pregnancy, therefore she was admitted for further observation. A reevaluation of the sonography showed a gestational sac close to the scar of the previous cesarean section. It was decided that due to a high risk of possible complications, including massive hemorrhage and uterine rupture, an abortion was required. Administration of mifepristone and misoprostole was attempted with no effect. Consequently, a hysteroscopic evacuation of the pregnancy was performed successfully without any post-operative complications. Conclusion: Caesarean scar pregnancy should be considered a life threatening condition. The diagnostic approach should include a transvaginal sonography and the therapeutic approach could either include a medical abortion with mifepristone and misoprostole protocol or methotrexate, or a surgical approach by hysteroscopy or laparoscopy. To conclude, the main aim is to terminate the pregnancy by abortion (medical or surgical) while preserving fertility and good quality of life after the treatment.
Keywords (croatian)
Keywords (english)
Languagecroatian
Publication typeScientific paper - Case study
Publication statusPublished
Peer reviewPeer review - domestic
Publication versionPublished version
Journal titleMedicina Fluminensis : Medicina Fluminensis
Numberingvol. 54, no. 4, pp. 413-417
p-ISSN1847-6864
e-ISSN1848-1868
DOIhttps://doi.org/10.21860/medflum2018_207360
URN:NBNurn:nbn:hr:184:258225
Publication2018-12-01
Document URLhttps://hrcak.srce.hr/207360
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) icon
Created on2018-12-03 16:06:13