CASE OF SCAR PREGNANCY MISDIAGNOSED FIRST AS INEVITABLE MISCARRIAGE

This abstract is about scar pregnancy case which was initially misdiagnosed as a case of inevitable miscarriage. Our patient g3 p1+1 presents in ERE as 7 weeks pregnancy with mild bleeding p/v. she was previous 1 LSCS. After scan and per speculum examination diagnosed as inevitable miscarriage as RP...

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Bibliographic Details
Published in:Pakistan journal of science 2023-09, Vol.75 (3), p.621-622
Main Authors: Fauzia Fatima, Osman, Mardi, Farah, Nadia Sheikh
Format: Article
Language:English
Subjects:
Anesthesia
Bleeding
Cervix
Cesarean section
Compression
Consultants
Diagnosis
Hemostasis
Hemostatics
Miscarriage
Misoprostol
Morbidity
Population-based studies
Pregnancy
Pregnancy complications
Pregnant women
Reproductive sterilization
Risk factors
Ultrasonic imaging
Uterus
Vasopressin
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Summary:This abstract is about scar pregnancy case which was initially misdiagnosed as a case of inevitable miscarriage. Our patient g3 p1+1 presents in ERE as 7 weeks pregnancy with mild bleeding p/v. she was previous 1 LSCS. After scan and per speculum examination diagnosed as inevitable miscarriage as RPOCS was seen protruding through internal os on speculum examination. Patient was admitted for misoprostol as advised by consultant. Patient did not abort after Misoprostol. Consultant advised for evacuation under general anesthesia. As soon as registrar tried to hold RPPOCS with sponge holder patient started bleeding heavily. Registrar abandoned the procedure and called consultant on call. Consultant first tried to stop bleeding by compression methods but failed, so diagnosis of scar pregnancy with possible perforation was made and laparotomy started and RPOCS removed from scar and uterus closed in layers. Hemostasis secured with difficulty bilateral tubal ligation done, vasopressin given and vertical compression sutures applied. (GTG NO 21 / 2016 NICE clinical guideline 154. Manchester: NICE; 2012). Abdomen closed in layers. In ward 2 units of packed RBCS transfused. Patient discharged in stable condition on second postoperative day.
ISSN:0030-9877
2411-0930
DOI:10.57041/pjs.v75i03.1017