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Interstitial Pregnancy in the Third Trimester with Severe Preeclampsia: A Case Report and Literature Review

An interstitial pregnancy that continues beyond the second trimester is a rare phenomenon. We report a patient with an interstitial pregnancy undiagnosed until the third trimester. A multiparous woman was referred to us because of preeclampsia at 26 weeks of gestation. The placental position was the...

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Autores principales: Nagayama, Shiho, Takahashi, Hironori, Tozawa, Shohei, Narumi, Risa, Usui, Rie, Ohkuchi, Akihide, Matsubara, Shigeki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7240790/
https://www.ncbi.nlm.nih.gov/pubmed/32455034
http://dx.doi.org/10.1155/2020/9408501
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author Nagayama, Shiho
Takahashi, Hironori
Tozawa, Shohei
Narumi, Risa
Usui, Rie
Ohkuchi, Akihide
Matsubara, Shigeki
author_facet Nagayama, Shiho
Takahashi, Hironori
Tozawa, Shohei
Narumi, Risa
Usui, Rie
Ohkuchi, Akihide
Matsubara, Shigeki
author_sort Nagayama, Shiho
collection PubMed
description An interstitial pregnancy that continues beyond the second trimester is a rare phenomenon. We report a patient with an interstitial pregnancy undiagnosed until the third trimester. A multiparous woman was referred to us because of preeclampsia at 26 weeks of gestation. The placental position was the right fundus, and color Doppler ultrasound revealed myometrial thinning and subplacental hypervascularity, leading to a suspicion of placenta accreta spectrum (PAS). Emergency cesarean section was performed at 28(1/7) weeks of gestation due to severe preeclampsia. The right tubal horn to the isthmus of the fallopian tube bulged with placental adhesion and a part of the tube had ruptured, with the omentum adhering to the ruptured part. Interstitial and tubal isthmic pregnancy with uterine rupture was diagnosed.
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spelling pubmed-72407902020-05-22 Interstitial Pregnancy in the Third Trimester with Severe Preeclampsia: A Case Report and Literature Review Nagayama, Shiho Takahashi, Hironori Tozawa, Shohei Narumi, Risa Usui, Rie Ohkuchi, Akihide Matsubara, Shigeki Case Rep Obstet Gynecol Case Report An interstitial pregnancy that continues beyond the second trimester is a rare phenomenon. We report a patient with an interstitial pregnancy undiagnosed until the third trimester. A multiparous woman was referred to us because of preeclampsia at 26 weeks of gestation. The placental position was the right fundus, and color Doppler ultrasound revealed myometrial thinning and subplacental hypervascularity, leading to a suspicion of placenta accreta spectrum (PAS). Emergency cesarean section was performed at 28(1/7) weeks of gestation due to severe preeclampsia. The right tubal horn to the isthmus of the fallopian tube bulged with placental adhesion and a part of the tube had ruptured, with the omentum adhering to the ruptured part. Interstitial and tubal isthmic pregnancy with uterine rupture was diagnosed. Hindawi 2020-05-12 /pmc/articles/PMC7240790/ /pubmed/32455034 http://dx.doi.org/10.1155/2020/9408501 Text en Copyright © 2020 Shiho Nagayama et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Nagayama, Shiho
Takahashi, Hironori
Tozawa, Shohei
Narumi, Risa
Usui, Rie
Ohkuchi, Akihide
Matsubara, Shigeki
Interstitial Pregnancy in the Third Trimester with Severe Preeclampsia: A Case Report and Literature Review
title Interstitial Pregnancy in the Third Trimester with Severe Preeclampsia: A Case Report and Literature Review
title_full Interstitial Pregnancy in the Third Trimester with Severe Preeclampsia: A Case Report and Literature Review
title_fullStr Interstitial Pregnancy in the Third Trimester with Severe Preeclampsia: A Case Report and Literature Review
title_full_unstemmed Interstitial Pregnancy in the Third Trimester with Severe Preeclampsia: A Case Report and Literature Review
title_short Interstitial Pregnancy in the Third Trimester with Severe Preeclampsia: A Case Report and Literature Review
title_sort interstitial pregnancy in the third trimester with severe preeclampsia: a case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7240790/
https://www.ncbi.nlm.nih.gov/pubmed/32455034
http://dx.doi.org/10.1155/2020/9408501
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