Journal of Yeungnam Medical Science

Case report

Laparoscopic excision and repair of a cesarean scar pregnancy in a woman with uterine didelphys: a case report: Seong-Eon Park, Ji-Eun Ryu, Tae-Kyu Jang; J Yeungnam Med Sci. 2023;40(2):202-206. Published online May 16, 2022; DOI: https://doi.org/10.12701/jyms.2022.00115

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Abstract PDF: Cesarean scar pregnancy (CSP) is a rare complication that occurs in less than 1% of ectopic pregnancies, and uterine didelphys is one of the rarest uterine forms. We report a successful laparoscopic excision and repair of CSP in a woman with uterine didelphys and a double vagina. A 34-year-old gravida one, para one woman with a history of low transverse cesarean section presented to our hospital with a suspected CSP. She was confirmed to have uterine didelphys with a double vagina during an infertility examination 7 years earlier. Magnetic resonance imaging showed a 2.5-cm gestational sac-like cystic lesion in the lower segment of the right uterus at the cesarean scar. We decided to perform a laparoscopic approach after informing the patient of the surgical procedure. The lower segment of the previous cesarean site was excised with monopolar diathermy to minimize bleeding. We identified the gestational sac in the lower segment of the right uterus, which was evacuated using spoon forceps. The myometrium and serosa of the uterus were sutured layer-by-layer using synthetic absorbable sutures. No remnant gestational tissue was visible on follow-up ultrasonography one month after the surgery. This laparoscopic approach to CSP in a woman with uterine didelphys is an effective and safe method of treatment. In women with uterine anomalies, it is important to confirm the exact location of the gestational sac by preoperative imaging for successful surgery.

Case Reports

Anesthesia for Cesarean Section in a Parturient with Dilated Cardiomyopathy: A Case Report.: Sae Yeon Kim, Su Jeong Heo, Sun Ok Song; Yeungnam Univ J Med. 2010;27(1):52-56. Published online June 30, 2010; DOI: https://doi.org/10.12701/yujm.2010.27.1.52

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Abstract PDF: Idiopathic peripartum cardiomyopathy is an uncommon malady disease. Making the diagnosis is often difficult and it is always necessary to exclude other prior heart disease and other causes of left ventricular dysfunction in pregnant women. Heart failure in these women ensues when the cardiovascular demands of normal pregnancy are further amplified when the common complications of pregnancy complications superimposed upon these underlying conditions that cause compensated ventricular hypertrophy. This may be aggravated by making a late diagnosis and providing inappropriate treatment. We experienced a 38-year-primigravida who has diagnosed with idiopathic peripartum cardiomyopathy and underwent elective cesarean section with general anesthesia.

Two Cases of Extrapelvic endometriosis following Laparoscopy-assisted vaginal hysterectomy and Cesarean section.: Jei Jun Bae, Mi Sun Lim, Min Whan Koh, Tae Hyung Lee, Mi Jin Kim; Yeungnam Univ J Med. 2007;24(1):91-96. Published online June 30, 2007; DOI: https://doi.org/10.12701/yujm.2007.24.1.91

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1 Crossref

Abstract PDF

Extrapelvic endometriosis is a rare disease. The majority of extrapelvic endometriosis cases involve scar tissue following obstetric and gynecologic procedures. We have treated two cases of extrapelvic incisional endometriosis. A 39 year old female patient with cyclic vaginal spotting after laparoscopic assisted vaginal hysterectomy due to uterine myoma and a 35 year old female patient with a painful palpable abdominal mass after cesarean section. Both underwent complete excision and were proven to have endometriosis by pathology. Here we report on both cases and review the medical literatures.

Citations

Citations to this article as recorded by

A Case of Pleural Endometriosis Presented as Right Sided Hemothorax in a Patient Who Underwent Kidney Transplantation
Eun-Hye Shin, Bo-Mi Shin, Yeon-Jung Ha, Il-Young Jang, Ji-Won Jung, Hyung-Jin Cho, Su-Kil Park
Yeungnam University Journal of Medicine.2013; 30(2): 145. CrossRef

Original Article

Prophylactic intravenous ephedrine infusion during spinal anesthesia for cesarean section.: Bon Up Koo; Yeungnam Univ J Med. 1991;8(1):72-78. Published online June 30, 1991; DOI: https://doi.org/10.12701/yujm.1991.8.1.72

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Abstract PDF: Ephedrine sulfate was administrated 30 healthy parturients undergoing elective repeat cesarean section under spinal anesthesia. Fifteen patients received ephedrine infusion (0.01% solution, beginning with approximately 5 mg/min) immediately after induction of spinal anesthesia to maintain maternal systolic blood pressure between 90% and 100% of the baseline systolic blood pressure (mean dose of ephedrine 31.6 mg). Fifteen patients (control group) received 20mg of ephedrine as an intravenous bolus, and additional 10mg increments, if necessary, when systolic blood pressure decreased to 80% of the baseline systolic blood pressure (mean dose of ephedrine 26.8 mg). Nausea and/or vomiting occurred in seven women in the control group and on patient in the infusion group (p<0.001). Apgar scores, fetal blood gas tension, and time for onset of respiration was comparable in the two groups. The results suggest that prophylactic ephedrine infusion is safe and desirable in healthy parturients undergoing cesarean section under spinal anesthesia.

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