Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2014, 158(4):654-658 | DOI: 10.5507/bp.2013.001

Dehiscent scar in the lower uterine segment after Caesarean section and IVF infertility treatment: A case report

Radka Filipcikovaa,#, Ivana Obornab,c,#, Jana Brezinovaa,d, Marcela Bezdickovaa, Stanislav Laichmana, Martin Dobiase, Zdenka Blazkovaa, Blazena Hladikovac, Dalibor Pastuchaf
a Department of Anatomy, Faculty of Medicine and Dentistry, Palacky University Olomouc, Czech Republic
b Department of Obstetrics and Gynaecology, Faculty of Medicine and Dentistry, Palacky University Olomouc
c Fertimed Olomouc
d Arleta IVF, Kostelec nad Orlici
e Department of Forensic Medicine and Medical Law, Faculty of Medicine and Dentistry, Palacky University Olomouc
f Neonatal Unit, Faculty of Medicine and Dentistry, Palacky University Olomouc
# The authors contributed equally to the work

Aims: Caesarean section is the most common obstetric operation associated with short and long term risks, one of which is uterine scar dehiscence. In this case report we describe four cases of in vitro fertilization and embryo transfer (IVF + ET) treatment where the embryo was transferred into the uterus with known scar dehiscence in the lower uterine segment after a previous Caesarean section (SC).

Methods: All transfers of embryos were ultrasound guided directly into the middle of uterine cavity. All resulting pregnancies continued without problems related to the dehiscent scar and babies were delivered in the third trimester by elective/emergency SC.

Results: Our cases suggest that IVF + ET can be offered as an infertility treatment option despite a dehiscent scar in the lower uterine segment after previous SC.

Keywords: uterine anatomy, lower uterine segment, scar dehiscence, IVF, transfer of embryo

Received: July 3, 2012; Accepted: January 4, 2013; Prepublished online: February 14, 2013; Published: December 9, 2014  Show citation

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Filipcikova, R., Oborna, I., Brezinova, J., Bezdickova, M., Laichman, S., Dobias, M., ... Pastucha, D. (2014). Dehiscent scar in the lower uterine segment after Caesarean section and IVF infertility treatment: A case report. Biomedical papers, 158(4), 654-658. doi: 10.5507/bp.2013.001
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