Misdiagnosis of 1 case of pregnancy the uterine incision.doc

 PAGE \* MERGEFORMAT 6 Misdiagnosis of 1 case of pregnancy the uterine incision Of: Deng Cuiping, Dingzhao Ning, Liu Wenlan [Keywords] section, incision pregnancy, misdiagnosis Uterine incision after cesarean section pregnancy is a rare and dangerous ectopic pregnancy, it is one of long-term complications of cesarean section, with the increase in cesarean section rate, incidence on the rise, accounting for ectopic Pregnancy 0  15% [1]. I now 1 was misdiagnosed cases reported below. A medical record Patients, 33 years old, pregnant 8 production 2. Because of “major medical abortion vaginal bleeding after curettage 1 + days” on February 3, 2009 3:00 pm admission. The last menstrual period December 8, 2008, stop by the 30 + days of positive self-examination of urine early pregnancy, menopause, ultrasound in our hospital 45 days Note: See the anterior wall of the lower uterine segment 1  6 cm × 1  4 cm sac echo, regular, internal see 0  4 cm × 0  3 cm germ primitive heart tube echo area and echo beats, audio-visual diagnosis: early pregnancy. on January 31, 2009 in our hospital out-patient medical abortion mifepristone, in February 2, 2009 8:00 AM oral misoprostol 600 μg, 1 + h started a lot of vaginal bleeding, immediate curettage, scrapings see a small amount of chorionic villi, blood loss of about 200 ml, observation of surgery patients had no discomfort after the home and rest. conscious after vaginal bleeding 2 + h increased, with dizziness, vertigo, palpitation, acute and local health agencies to seek treatment to give fluids to help contractions and other treatment, her condition improved and was seeking treatment in our hospital, ultrasound Tip: abnormal echo anterior lower uterine segment, out-patient again gave curettage, surgery See a little clot in bleeding of about 200 ml, then submitted the “curettage after medical abortion, cervical pregnancy” income residents. cesarean section in patients 2, 5 passenger, denied history of drug al