Hysterotomy for retained placenta in suspected angular pregnancy.

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL
Rachel Newman, Alia Nazir, Michael Leung, Deepali Patni
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引用次数: 0

Abstract

Background: Angular pregnancy is a rare event and is a commonly missed diagnosis in the antepartum period. Data regarding the optimal mode of delivery and management of the placenta are limited.

Case description: A patient in her 30s, gravida 3, para 1 presented at 37 weeks with severe range blood pressure and was admitted for induction of labour due to preeclampsia. Her labour course and delivery of the neonate were uncomplicated. Despite attempts at manual extraction and suction dilation and curettage, the placenta was unable to be removed. Ultrasound revealed the placenta in the right cornua, suspicious for angular pregnancy. She was taken to the operating room for exploratory laparotomy and hysterotomy for extraction of the placenta. She had an uncomplicated postpartum course and was discharged home on postpartum day 4.

Conclusion: In patients with suspected angular pregnancy, exploratory laparotomy and hysterotomy may be required for placental removal.

疑似角妊娠胎盘滞留的子宫切除术。
背景:角状妊娠是一种罕见情况,也是产前常见的漏诊。有关最佳分娩方式和胎盘处理的数据十分有限:一名 30 多岁、孕 3、1 段的患者在 37 周时出现严重的血压波动,因子痫前期而入院进行引产。她的分娩过程和新生儿的娩出都不复杂。尽管尝试了人工剥离、吸引扩张和刮宫术,但胎盘仍无法剥离。超声波检查发现胎盘位于右侧子宫角,怀疑是角状妊娠。她被送往手术室进行探查性开腹手术和子宫切开术,以取出胎盘。她的产后过程并不复杂,于产后第4天出院回家:对于疑似角状妊娠的患者,可能需要进行探查性开腹手术和子宫切除术以取出胎盘。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMJ Case Reports
BMJ Case Reports Medicine-Medicine (all)
CiteScore
1.40
自引率
0.00%
发文量
1588
期刊介绍: BMJ Case Reports is an important educational resource offering a high volume of cases in all disciplines so that healthcare professionals, researchers and others can easily find clinically important information on common and rare conditions. All articles are peer reviewed and copy edited before publication. BMJ Case Reports is not an edition or supplement of the BMJ.
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