Emergency internal iliac artery temporary occlusion after massive hemorrhage during surgery of cesarean scar pregnancy:A case report  

作　　者：Ji-Ping Xie Lin-Lin Chen Wen Lv Wu Li Hui Fang Guang Zhu 

机构地区：[1]Department of Gynecology,Tongde Hospital of Zhejiang Province,Hangzhou 310012,Zhejiang Province,China [2]Department of Medical Ultrasonics,Tongde Hospital of Zhejiang Province,Hangzhou 310012,Zhejiang Province,China

出　　处：《World Journal of Clinical Cases》2023年第17期4065-4071,共7页世界临床病例杂志

基　　金：Supported by Medical Health Science and Technology Project of Zhejiang Province,China,No.2020ZH003。

摘　　要：BACKGROUND Cesarean scar pregnancy(CSP)is rare but may result in uterine rupture during pregnancy or massive hemorrhage during abortion procedures.Awareness of this condition is increasing,and most patients with CSP are now diagnosed early and can be managed safely.However,some atypical patients are misdiagnosed,and their surgical risks are underestimated,increasing the risk of fatal hemorrhage.CASE SUMMARY A 27-year-old Asian woman visited our institution because of abnormal pregnancy,and she was diagnosed with a hydatidiform mole through transvaginal ultrasound(TVS).Under hysteroscopy,a large amount of placental tissue was found in the scar of the lower uterine segment,and a sudden massive hemorrhage occurred during the removal process.The bilateral internal iliac arteries were temporarily blocked under laparoscopy,and scar resection and repair were rapidly performed.She was discharged in good condition 5 d after the operation.CONCLUSION Although TVS is widely used in the diagnosis of CSP,delays in the diagnosis of atypical CSP remain.Surgical treatment following internal iliac artery temporary occlusion may be an appropriate management method for unanticipated massive hemorrhage during CSP surgery.

关 键 词：Internal iliac artery temporary occlusion Cesarean scar pregnancy Uterine artery embolization MISDIAGNOSIS HYSTEROSCOPY LAPAROSCOPY Case report 

分 类 号：R713.8[医药卫生—妇产科学]