TY - JOUR
T1 - Bovine Pericardial Graft for Second-Trimester Cesarean Scar Dehiscence
AU - Stephens, Angela
AU - Patel, Khilen
AU - Davis, Janet
AU - Ghamande, Sharad
PY - 2019/2/1
Y1 - 2019/2/1
N2 - BACKGROUND:Cesarean scar dehiscence is rare in pregnancy. When it occurs late in pregnancy, management typically involves delivery of the fetus with concurrent uterine repair. However, consensus regarding management earlier in gestation is lacking.CASE:A 30-year-old African American woman, gravida 5 para 2113, presented with cesarean scar dehiscence confirmed by magnetic resonance imaging at 20 weeks of gestation. She desired pregnancy continuation and underwent repair of the dehiscence at 23 weeks of gestation using bovine pericardial graft. She subsequently underwent cesarean delivery at 35 weeks of a healthy neonate after going into preterm labor.CONCLUSION:Bovine pericardial graft is a viable option for repair of cesarean scar dehiscence in the second trimester.
AB - BACKGROUND:Cesarean scar dehiscence is rare in pregnancy. When it occurs late in pregnancy, management typically involves delivery of the fetus with concurrent uterine repair. However, consensus regarding management earlier in gestation is lacking.CASE:A 30-year-old African American woman, gravida 5 para 2113, presented with cesarean scar dehiscence confirmed by magnetic resonance imaging at 20 weeks of gestation. She desired pregnancy continuation and underwent repair of the dehiscence at 23 weeks of gestation using bovine pericardial graft. She subsequently underwent cesarean delivery at 35 weeks of a healthy neonate after going into preterm labor.CONCLUSION:Bovine pericardial graft is a viable option for repair of cesarean scar dehiscence in the second trimester.
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U2 - 10.1097/AOG.0000000000003061
DO - 10.1097/AOG.0000000000003061
M3 - Article
C2 - 30633133
AN - SCOPUS:85060524386
SN - 0029-7844
VL - 133
SP - 364
EP - 367
JO - Obstetrics and gynecology
JF - Obstetrics and gynecology
IS - 2
ER -