A life threatening uterine inversion and massive post partum hemorrhage caused by placenta accrete during Caesarean section in a primigravida: a case report

BACKGROUND: A 32-year-old Caucasian primigravida was admitted for elective Caesarean Section at 36 weeks and 6 days with the diagnosis of preeclampsia. CASE PRESENTATION: Traction of the umbilical cord after delivery of a healthy baby resulted in uterine inversion. The placenta was found to be dense...

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Detalles Bibliográficos
Autores principales: Tsivos, Dimitris, Malik, Fozia, Arambage, Kirana, Hagan, Philip, Lee, Cheng
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2646695/
https://www.ncbi.nlm.nih.gov/pubmed/19210798
http://dx.doi.org/10.1186/1757-1626-2-138
Descripción
Sumario:BACKGROUND: A 32-year-old Caucasian primigravida was admitted for elective Caesarean Section at 36 weeks and 6 days with the diagnosis of preeclampsia. CASE PRESENTATION: Traction of the umbilical cord after delivery of a healthy baby resulted in uterine inversion. The placenta was found to be densely adherent to the posterior uterine wall. Piecemeal excision of the placenta as close as possible to the uterine lining was then performed. CONCLUSION: In this way we were able to control a massive post partum hemorrhage and preserve the fertility of the patient.

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