L.E.TEREGULOVA^1,3, A. YU. TEREGULOV^2,3,  I.R. GALIMOVA^2,3, D.R. GAYAZOV^1,3, M.R. KHAYRUTDINOVA³

¹ Kazan State Medical Academy — Branch Campus of the RMACPE MOH Russia, 36 Butlerov Str., Kazan, Russian Federation, 420012

²Kazan State Medical University of the Ministry of Health of the Russian Federation, 49 Butlerov Str., Kazan, Russian Federation, 420012

³Republican Clinical Hospital of the Ministry of Health of the Russian Federation, 138 Orenburgskiy Trakt, Kazan, Russian Federation, 420064

Teregulova L.E. – Cand. Med. Sc., Assistant Professor of the Department of ultrasonic diagnosis, Head of the ultrasonic diagnosis unit, tel. + 7-917-269-58-41, e-mail: [email protected]

Teregulov A.Yu. – Cand. Med. Sc., Head of the Angiography Cabinet, tel. + 7-917-269-58-40, e-mail: [email protected]

Galimova I.R. – Cand. Med. Sc., Assistant Professor of the Department of obstetrics and gynecology No.2, Deputy Chief Physician of obstetrics and gynecology, tel. + 7-987-226-92-87, e-mail: [email protected]

Gayazov D.R. – surgeon of the Department of X-ray diagnostic methods of diagnostics and treatment, tel. + 7-953-490-33-24, e-mail: [email protected]

Khayrutdinova M.R. – doctor of the Department of gynecology, tel +7-951-896-25-97,
e-mail: [email protected]

A unique case of a combination of scar pregnancy and normal uterine pregnancy at a gestation period of 17 weeks is presented. The scar pregnancy has provoked an abruption of the normally located placenta with heavy bleeding. The course of diagnostics and minimally invasive organ-saving treatment is described with subsequent ultrasound-control up to the moment of resorption of scar pregnancy and restoration of the scar.

Key words: scar pregnancy, ultrasound investigation, uterine artery embolisation.

REFERENCES

1. Teregulova L.E., Teregulov A.Yu., Khayrutdinova M.R. et al. Ultrasonic diagnosis of cicatricial pregnancy as the basis for a differentiated approach to organ-preserving treatment. Prakticheskaya meditsina, 2017, no. 2(103), pp. 113–118 (in Russ.).
2. Jurkovic D., Hillaby K., Woelfer A. et al. First-trimester diagnosis and management of pregnancies implanted into the lower uterine segment caesarean section scar. Ultrasound Obstet Gynecol., 2003, vol. 21, r. 220.
3. Timor-Tritsch I.E., Monteagudo A., Cali G. et al. Cesarean scar pregnancy and early placenta accreta share common histology. Ultrasound Obstet Gynecol, 2014, vol. 43, pp. 383–395.
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5. Teregulova L.E., Egamberdieva L.D., Tukhvatshina N.I. et al. Different approach to conservative organ-preserving treatment of cervical pregnancy, depending on the results of ultrasound examination with color Doppler mapping. Prakticheskaya meditsina, 2013, no. 7(76), pp. 72–77 (in Russ.).