OP05.09: The SECURE study: Ultrasound evaluation of the caesarean scar - Preliminary results on the prevalence of a niche and relation with abnormal uterine bleeding

2008 ◽  
Vol 32 (3) ◽  
pp. 327-327
Author(s):  
A. J. M. Bij de Vaate ◽  
J. W. van der Slikke ◽  
J. Bartholomew ◽  
H. A. M. Brolmann
Keyword(s):  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Preliminary Results ◽  
Caesarean Scar ◽  
Ultrasound Evaluation

scholarly journals Double Approach (Laparoscopy and Hysteroscopy) Repair of Istmochele (Niche)

2020 ◽  
pp. 254-257
Author(s):  
Herbert Situmorang ◽  
Ribkhi A. Putri ◽  
Cepi T. Pramayadi ◽  
Riyan H. Kurniawan ◽  
Muhammad D. Priangga ◽  
...  
Keyword(s):  
Transvaginal Ultrasound ◽  
Abnormal Uterine Bleeding ◽  
Oral Contraception ◽  
Patient Admission ◽  
Uterine Bleeding ◽  
Day Hospital ◽  
Caesarean Scar ◽  
Double Approach ◽  
Optimal Approach ◽  
Caesarean Scar Defect

Objectives: Reported a case demonstrate the double approach repair of niche treatment through the hysteroscopy and laparoscopy technique.Methods: Case report. We reported a case starting from the patient admission untill 3 months postoperative condition.Case: A 33 years old woman came with abnormal uterine bleeding, already got medication and combine oral contraception pill, but the bleeding never stopped. We found a cavity (niche) filled by menstrual blood with thin lower uterine segment (just serous layer) from transvaginal ultrasound. We did hysteroscopy and laparoscopy approach. We illuminated the niche by hysteroscopy, then resected it by laparoscopy. Patient had a day hospital admission and no symptoms anymore after the procedure.Conclusion: Many treatment methods have been described for repair of niche with varies effectivities. Double approach (hysteroscopy and laparoscopy) technique was a minimal access, but optimal approach of niche resection with up to 100% effectivity.Keywords: abnormal uterine bleeding, caesarean scar defect, hysteroscopy, istmochele laparoscopy, niche   Abstrak Tujuan: Melaporkan sebuah kasus yang menggambarkan pendekatan ganda dalam memperbaiki niche dengan histeroskopi dan laparoskopi.Metode: Laporan kasus. Kami melaporkan sebuah kasus dimulai dari pasien masuk sampai dengan 3 bulan pascaoperasi.Kasus: Perempuan 33 tahun datang dengan perdarahan uterus abnormal, telah diberikan terapi obat dan pil kombinasi, namun perdarahan tidak berhenti. Dari ultrasonografi ditemukan rongga berisi darah menstrusasi dengan segmen bawah uterus yang tipis (hanya lapisan serosa). Kami melakukan pendekatan histeroskopi dan laparoskopi. Dilakukan iluminasi dengan histeroskopi, kemudian reseksi dengan laparoskopi. Perawatan pasien di rumah sakit selama satu hari, dan tidak terdapat keluhan pada pasien setelah tindakan.Kesimpulan: Terdapat banyak metode dalam tata laksana niche dengan efektivitas yang beragam. Pendekatan ganda dengan histeroskopi dan laparoskopi merupakan tehnik dengan akses minimal namun hasil optimal, dengan efektivitas hingga 100%.Kata Kunci: perdarahan uterus abnormal, defek skar sesar, histeroskopi, istmpchele, laparoskopi, niche  

scholarly journals The role of the ultrasound examination in atypical placental site trophoblastic tumour differential diagnosis and management. A case report

2021 ◽  
Author(s):  
Monica Mihaela Cirstoiu ◽  
Maria Sajin ◽  
Alexandru Baros ◽  
Sorin Vasilescu ◽  
Natalia Turcan
Keyword(s):  
Differential Diagnosis ◽  
Ultrasound Examination ◽  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Unique Form ◽  
Caesarean Scar ◽  
Placental Site ◽  
Slow Growing ◽  
Trophoblastic Tumours

Placental site trophoblastic tumour (PSTT) is a very rare and unique form of gestational trophoblastic tumour, representing about 1-2% of all gestational trophoblastic tumours. Usually, the pattern is a slow growing nodule implicating the endometrium and myometrium, accompanied by abnormal uterine bleeding. Three ultrasound types of PSTT are described, but thereis no specific characteristic for diagnosis. We present the case of a patient with an atypical placental site trophoblastic tumour diagnosed two months after a caesarean scar pregnancy. In the presented case there are several particularities, such as the rapid growth and progression of the tumour, the limitation to the myometrium and the difficulty of the differential diagnosis and approach.

scholarly journals Sonohysterography: A Formidable Diagnostic Tool in the Evaluation of the Caesarean Scar Defect in Comparison to MRI

EMJ Radiology ◽  
2021 ◽  
pp. 83-89
Author(s):  
Saika Amreen ◽  
Cimona L. Saldanha ◽  
Naseer A. Choh ◽  
Yawar Yaseen ◽  
Tariq A. Gojwari
Keyword(s):  
Abnormal Uterine Bleeding ◽  
Obstetric Care ◽  
Uterine Bleeding ◽  
Defect Depth ◽  
Caesarean Scar ◽  
The Past ◽  
Wide Range ◽  
The Mean ◽  
Caesarean Scar Defect ◽  
Myometrial Thickness

Introduction: The use of the caesarean section (C-section) in obstetric care has exponentially increased in the past few decades. The caesarean scar defect (CSD) is a potential complication of C-section and is associated with a wide range of problems. The purpose of this study was to compare the evaluation of the CSD in non-pregnant women by sonohysterography (SHG) and MRI. Methods: This study was performed in patients having undergone a single C-section more than 6 months prior, presenting with abnormal uterine bleeding, dysmenorrhoea, or pelvic pain. Since ultrasonography and pelvic examination were inconclusive, these patients underwent MRI followed by saline infusion SHG. Measurements and characteristics of the ‘niche’ were acquired from both MRI and SHG and compared for analysis. Results: Patients with a single C-section presenting with prolonged bleeding, spotting, and dysmenorrhoea were included in this prospective study. SHG and MRI were used to measure scar thickness, width, depth, and adjacent myometrial thickness, in which the findings concurred. The mean defect depth was greater in patients with postmenstrual bleeding. Conclusion: SHG is noninferior to MRI, and SHG has the potential to assess the dynamic status of the CSD, with morphological clarity.

Abnormal uterine bleeding in adolescents: ultrasound evaluation of uterine volume

2018 ◽  
Vol 35 (4) ◽  
pp. 356-359 ◽  
Author(s):  
Zana Bumbuliene ◽  
Diana Sragyte ◽  
Jelena Klimasenko ◽  
Elzbieta Bumbul-Mazurek
Keyword(s):  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Ultrasound Evaluation ◽  
Uterine Volume

Unicornuate Uterus with NonCommunicating Non-Cavitated Rudimentary Uterine Horn: An Unusual Case with Adenomyosis Managed with Total Hysterectomy

2015 ◽  
Vol 1 (1) ◽  
Keyword(s):  
Medical Treatment ◽  
Unusual Case ◽  
Uterine Bleeding ◽  
Uterine Horn ◽  
Rudimentary Horn ◽  
Total Hysterectomy ◽  
Unicornuate Uterus ◽  
Ultrasound Evaluation ◽  
Rudimentary Uterine Horn

A 45-year-old woman admitted to our hospital complaining of perimenopausal uterine bleeding not responding to medical treatment. Ultrasound evaluation revealed unicornuate uterus with adenomyosis and it was so difficult to see the distant small left rudimentary horn on ultrasound. The patient underwent laparotomy with total hysterectomy for both horns and was sent to pathologist that indicated adenomyosis and non-communicating non-cavitated left rudimentary horn.

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