Spontaneous uterine rupture due to placenta percreta in the second trimester of pregnancy: a case report
Autor: | Dong Wook Kim, So Young Seo, Bo Mi Kim, Sung Wook Chun |
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Rok vydání: | 2017 |
Předmět: |
medicine.medical_specialty
Pregnancy 030219 obstetrics & reproductive medicine Hysterectomy Obstetrics business.industry Placenta Percreta medicine.medical_treatment 030204 cardiovascular system & hematology medicine.disease Uterine rupture 03 medical and health sciences 0302 clinical medicine Second trimester medicine Hemoperitoneum medicine.symptom business reproductive and urinary physiology |
Zdroj: | Kosin Medical Journal. 32:263-268 |
ISSN: | 2586-7024 2005-9531 |
DOI: | 10.7180/kmj.2017.32.2.263 |
Popis: | A 32-year-old multiparous woman (gravida 2, para 2) with a history of previous cesarean section had acute abdominal pain and collapsed at 21 weeks of gestation. Exploratory laparotomy was performed because of the patient's worsening condition; ultrasound examination results were suggestive of massive hemoperitoneum, and fetus in vertex presentation with bradycardia. Uterine rupture between the left lower segment and borderline of the cervix in the anterior wall with active bleeding was confirmed. An uncomplicated classical cesarean section was performed, but the fetus was stillborn due to preterm birth. Hysterectomy was performed after the cesarean section. The patient was admitted to intensive care units for 3 days and was discharged in 12 days following delivery. Placenta percreta at the anterior lower segment of the uterus was confirmed in the pathology report. |
Databáze: | OpenAIRE |
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