Císařský řez podél zadní stěny dělohy – porodnická a chirurgická komplikace neprůchodné pánve v důsledku předchozí endometriózy

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Authors: Paolo Meloni ¹; Lucia Penna ¹; Erica Pacella ¹; Terenzia Simari ²; Roberta Lai ³; Virginia Bongiovi ⁴; Roberto Conturso ⁵; Edward Araujo Júnior ⁶; Gabriele Tonni ⁷
Authors‘ workplace: Department of Obstetrics and Gynecology, Imperia Hospital, ASL1 Imperiese, Imperia, Italy ¹; Service of Obstetrics and Gynaecologic, ASL1 Imperiese, Imperia, Italy ²; Department of Imaging Dia gnostic, ASL1 Imperiese, Imperia, Italy ³; Department of Anesthesia and Reanimation, ASL1 Imperiese, Imperia, Italy ⁴; Maternal-Fetal Medicine Sector, Sant’Anna Clinic, Lugano, Switzerland ⁵; Department of Obstetrics, Paulista School of Medicine – Federal University of São Paulo, São Paulo, Brazil ⁶; Department of Obstetrics & Neonatology, and Researcher, Istituto di Ricovero e Cura a Carattere Clinico Scientifi co (IRCCS), ASL Reggio Emilia, Reggio Emilia, Italy ⁷
Published in: Ceska Gynekol 2024; 89(4): 304-308
Category: Case Report
doi: https://doi.org/10.48095/cccg2024304

Overview

Pánevní endometrióza je dobře známým klinickým rizikovým faktorem pánevního zánětu a srůstů. Prezentujeme zde komplikovaný případ ženy po císařském řezu, kdy tradiční řez na předním dolním děložním segmentu nebyl možný z důvodu městnavé pánve. Novorozenec byl porozen pomocí řezu zadní stěny dělohy s rotací okrouhlého vazu.

Klíčová slova:

pánevní endometrióza – zadní císařský řez – pánevní adheze

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ORCID authors

P. Meloni 0000-0003-2775-3216

T. Simari 0009-0000-4474-7569

R. Lai 0009-0008-9526-9745

R. Conturso 0009-0000-8980-0212

E. Araujo Júnior 0000-0002-6145-2532

G. Tonni 0000-0002-2620-7486

Submitted/Doručeno: 28. 3. 2024

Accepted/Přijato: 30. 4. 2024

Prof. Edward Araujo Júnior, PhD

Rua Belchior de Azevedo

156 apto. 111 Torre Vitoria