Yu.V. GARIFULLOVA¹, V.I. ZHURAVLEVA¹

¹Kazan State Medical University of the Ministry of Health of the Russian Federation, Kazan

Garifullova Yu.V. ― PhD (medicine), Assistant Lecturer of V.S. Gruzdev Department of Obstetrics and Gynecology

Address: 49 Butlerov Str., 420012 Kazan, Russian Federation,  tel. (843) 236-08-73, e-mail: gamil.garifullov@yandex.ru

Uterine scar dehiscence after cesarean section is usually diagnosed while planning the next pregnancy or in the early postpartum period, when splitting apart of the stitches leads to purulent septic complications and obstetric peritonitis. The article presents a clinical case of development of uterine scar dehiscence in the late postoperative period with the formation of a large defect in the anterior uterine wall against the background of obscured clinical presentation of the disease. The effectiveness of metroplasty using laparotomic access with complete restoration of the uterine wall integrity is demonstrated. Analysis of this clinical case suggests that a dynamic ultrasound examination of the uterine scar in the late postoperative period is indicated in patients after repeated cesarean section, with the aim of early diagnosis of scar dehiscence formation.

Key words: Uterine scar dehiscence, late postoperative period, metroplasty.

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