Conclusion
We encountered a case where the anterior wall of the uterus adhered to the vesicouterine pouch, making it difficult to perform the usual lower uterine approach for a cesarian section; the baby had to be delivered through a fundal incision. Several methods for predicting intra-abdominal adhesions have been reported; however, in actual clinical practice, it is still difficult to diagnose all conditions in the abdominal cavity. Pregnancy with endometriosis increases the risk of perinatal complications, and management in tertiary centers should be considered. The prognosis of uterine fundal incision is unknown, and long-term follow-up of these cases will be required.