导航产科之谜：胎盘增生谱伪装成妊娠滋养细胞瘤。

IF 0.5 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Tropical Doctor Pub Date : 2025-04-01 Epub Date: 2024-12-26 DOI:10.1177/00494755241306171

Medha Davile, Avantika Gupta, Anita Yadav, Shuchita Mundle

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引用次数: 0

摘要

胎盘增生谱（PAS）是一种复杂的产科疾病，其特征是锚定绒毛和滋养细胞异常侵入子宫肌层。本病例报告探讨了在产前护理中忽视PAS诊断的两个实例，导致保守管理期间出现重大并发症。两例患者均出现大量月经出血和β-人绒毛膜促性腺激素（β-hCG）升高，类似妊娠滋养层疾病。该报告深入探讨了两个病例的临床表现、诊断挑战和结果，揭示了在PAS管理中有效沟通和随访的重要性。

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Navigating obstetric enigma: Placenta accreta spectrum masquerading as gestational trophoblastic neoplasia.

Placenta accreta spectrum (PAS) represents a complex obstetric condition characterised by the abnormal invasion of anchoring villi and trophoblast into the myometrium. This case report explores two instances where the diagnosis of PAS was overlooked during antenatal care leading to significant complications during conservative management. Both patients presented with heavy menstrual bleeding and raised beta human chorionic gonadotrophin (β-hCG), mimicking gestational trophoblastic disease. The report delves into the clinical presentations, diagnostic challenges, and outcomes of two cases, shedding light on the importance of effective communication and follow-up in the management of PAS.

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来源期刊

Tropical Doctor 医学-公共卫生、环境卫生与职业卫生

CiteScore

1.20

自引率

0.00%

发文量

144

审稿时长

3 months

期刊介绍： The only journal written by and for health workers in low and middle-income countries, Tropical Doctor provides medical expertise and practical advice on how to apply current medical knowledge to the special circumstances of LMIC countries. This journal provides an ideal forum for sharing experiences and establishing best practice, aiding communication between medical professionals in different environments.