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.