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Bovine Pericardial Graft for Second-Trimester Cesarean Scar Dehiscence

Stephens, Angela, MD; Patel, Khilen, MD; Davis, Janet, MD; Ghamande, Sharad, MD

doi: 10.1097/AOG.0000000000003061
Contents: Operative Obstetrics: Case Report

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.

A bovine pericardial graft can be used to successfully repair uterine scar dehiscence in the second trimester.

Department of Obstetrics and Gynecology and Division of Gynecology-Oncology, Department of Obstetrics and Gynecology, Augusta University, Augusta, Georgia; and Janet Davis, M.D., P.C., Maternal Fetal Medicine.

Corresponding author: Angela Stephens, MD, Department of Obstetrics and Gynecology, Augusta University, 1120 15th Street, BA-7300, Augusta, GA 30912; email:

Financial Disclosure The authors did not report any potential conflicts of interest.

Each author has confirmed compliance with the journal's requirements for authorship.

Peer reviews and author correspondence are available at

Received September 07, 2018

Received in revised form October 27, 2018

Accepted November 01, 2018

© 2019 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.