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Fundal partial placenta percreta complicated with postpartum hemoperitoneum: A case report

INTRODUCTION: The fundus of the uterus is a rare location for abnormally invasive placenta compared with the common site of abnormally invasive placenta in the lower segment of the uterus. PRESENTATION OF CASE: We report a case of a 38-year-old multipara woman who had a fundal partial placenta percr...

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Autores principales: Adwan, Dema, Taifour, Wessam, Bhsass, Rafat, Taifour, Danny
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8522481/
https://www.ncbi.nlm.nih.gov/pubmed/34653894
http://dx.doi.org/10.1016/j.ijscr.2021.106482
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author Adwan, Dema
Taifour, Wessam
Bhsass, Rafat
Taifour, Danny
author_facet Adwan, Dema
Taifour, Wessam
Bhsass, Rafat
Taifour, Danny
author_sort Adwan, Dema
collection PubMed
description INTRODUCTION: The fundus of the uterus is a rare location for abnormally invasive placenta compared with the common site of abnormally invasive placenta in the lower segment of the uterus. PRESENTATION OF CASE: We report a case of a 38-year-old multipara woman who had a fundal partial placenta percreta with no prior cesarean sections, which presented as a retained placenta after preterm labor, and complicated with hemorrhagic shock due to postpartum hemoperitoneum, thus it was diagnosed after surgery and managed by subtotal hysterectomy. DISCUSSION: We discuss the most common risk factors for abnormally invasive placenta and its diagnosis and management. We compare the possibility of leading to invasive placenta resulting from curettage trauma and cesarean delivery scars. CONCLUSION: History of uterine surgical procedures without prior cesarean delivery must raise suspicion of abnormally invasive placenta regardless of its localization, especially when associates with preterm labor or retained placenta.
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spelling pubmed-85224812021-10-25 Fundal partial placenta percreta complicated with postpartum hemoperitoneum: A case report Adwan, Dema Taifour, Wessam Bhsass, Rafat Taifour, Danny Int J Surg Case Rep Case Report INTRODUCTION: The fundus of the uterus is a rare location for abnormally invasive placenta compared with the common site of abnormally invasive placenta in the lower segment of the uterus. PRESENTATION OF CASE: We report a case of a 38-year-old multipara woman who had a fundal partial placenta percreta with no prior cesarean sections, which presented as a retained placenta after preterm labor, and complicated with hemorrhagic shock due to postpartum hemoperitoneum, thus it was diagnosed after surgery and managed by subtotal hysterectomy. DISCUSSION: We discuss the most common risk factors for abnormally invasive placenta and its diagnosis and management. We compare the possibility of leading to invasive placenta resulting from curettage trauma and cesarean delivery scars. CONCLUSION: History of uterine surgical procedures without prior cesarean delivery must raise suspicion of abnormally invasive placenta regardless of its localization, especially when associates with preterm labor or retained placenta. Elsevier 2021-10-06 /pmc/articles/PMC8522481/ /pubmed/34653894 http://dx.doi.org/10.1016/j.ijscr.2021.106482 Text en © 2021 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Adwan, Dema
Taifour, Wessam
Bhsass, Rafat
Taifour, Danny
Fundal partial placenta percreta complicated with postpartum hemoperitoneum: A case report
title Fundal partial placenta percreta complicated with postpartum hemoperitoneum: A case report
title_full Fundal partial placenta percreta complicated with postpartum hemoperitoneum: A case report
title_fullStr Fundal partial placenta percreta complicated with postpartum hemoperitoneum: A case report
title_full_unstemmed Fundal partial placenta percreta complicated with postpartum hemoperitoneum: A case report
title_short Fundal partial placenta percreta complicated with postpartum hemoperitoneum: A case report
title_sort fundal partial placenta percreta complicated with postpartum hemoperitoneum: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8522481/
https://www.ncbi.nlm.nih.gov/pubmed/34653894
http://dx.doi.org/10.1016/j.ijscr.2021.106482
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