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Placenta increta causing hemoperitoneum in the 26th week of pregnancy: a case report
INTRODUCTION: Placenta increta is a serious complication of pregnancy. We describe a case leading to uterine rupture associated with massive intra-abdominal hemorrhage. CASE PRESENTATION: A 34-year-old Caucasian Albanian woman, gravida 2, para 1, was admitted to the emergency department of our hospi...
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2010
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3017074/ https://www.ncbi.nlm.nih.gov/pubmed/21176187 http://dx.doi.org/10.1186/1752-1947-4-412 |
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author | Vyshka, Gentian Çapari, Nuredin Shaqiri, Elmas |
author_facet | Vyshka, Gentian Çapari, Nuredin Shaqiri, Elmas |
author_sort | Vyshka, Gentian |
collection | PubMed |
description | INTRODUCTION: Placenta increta is a serious complication of pregnancy. We describe a case leading to uterine rupture associated with massive intra-abdominal hemorrhage. CASE PRESENTATION: A 34-year-old Caucasian Albanian woman, gravida 2, para 1, was admitted to the emergency department of our hospital for acute abdominal pain associated with profound secondary anemia. An anatomopathological diagnosis of placenta increta destruens was made. An urgent hysterectomy was performed after resuscitation procedures, applied due to the severe anemia and the abdominal drama accompanying the case. Intra-operatively, a uterus-saving procedure was found to be impossible, and hysterectomy remained the only surgical option. The uterine structures were sent for further microscopic evaluation. On histological examination, deep trophoblastic infiltration of the uterine wall was observed, justifying the surgeon's decision. Our patient received blood transfusions and antibiotics. Her sutures were removed on the eighth postoperative day and she was discharged the following day in a stable condition. CONCLUSION: This case, describing a patient with uterine rupture and massive hemorrhage, illustrates a serious and potentially fatal complication of placenta previa. In such cases, surgery is essential, and hysterectomy may be the only viable option. |
format | Text |
id | pubmed-3017074 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-30170742011-01-07 Placenta increta causing hemoperitoneum in the 26th week of pregnancy: a case report Vyshka, Gentian Çapari, Nuredin Shaqiri, Elmas J Med Case Reports Case Report INTRODUCTION: Placenta increta is a serious complication of pregnancy. We describe a case leading to uterine rupture associated with massive intra-abdominal hemorrhage. CASE PRESENTATION: A 34-year-old Caucasian Albanian woman, gravida 2, para 1, was admitted to the emergency department of our hospital for acute abdominal pain associated with profound secondary anemia. An anatomopathological diagnosis of placenta increta destruens was made. An urgent hysterectomy was performed after resuscitation procedures, applied due to the severe anemia and the abdominal drama accompanying the case. Intra-operatively, a uterus-saving procedure was found to be impossible, and hysterectomy remained the only surgical option. The uterine structures were sent for further microscopic evaluation. On histological examination, deep trophoblastic infiltration of the uterine wall was observed, justifying the surgeon's decision. Our patient received blood transfusions and antibiotics. Her sutures were removed on the eighth postoperative day and she was discharged the following day in a stable condition. CONCLUSION: This case, describing a patient with uterine rupture and massive hemorrhage, illustrates a serious and potentially fatal complication of placenta previa. In such cases, surgery is essential, and hysterectomy may be the only viable option. BioMed Central 2010-12-22 /pmc/articles/PMC3017074/ /pubmed/21176187 http://dx.doi.org/10.1186/1752-1947-4-412 Text en Copyright ©2010 Vyshka et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<url>http://creativecommons.org/licenses/by/2.0</url>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Vyshka, Gentian Çapari, Nuredin Shaqiri, Elmas Placenta increta causing hemoperitoneum in the 26th week of pregnancy: a case report |
title | Placenta increta causing hemoperitoneum in the 26th week of pregnancy: a case report |
title_full | Placenta increta causing hemoperitoneum in the 26th week of pregnancy: a case report |
title_fullStr | Placenta increta causing hemoperitoneum in the 26th week of pregnancy: a case report |
title_full_unstemmed | Placenta increta causing hemoperitoneum in the 26th week of pregnancy: a case report |
title_short | Placenta increta causing hemoperitoneum in the 26th week of pregnancy: a case report |
title_sort | placenta increta causing hemoperitoneum in the 26th week of pregnancy: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3017074/ https://www.ncbi.nlm.nih.gov/pubmed/21176187 http://dx.doi.org/10.1186/1752-1947-4-412 |
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