Placenta percreta causing second trimester, spontaneous uterine rupture in non high risk women is less frequent and fewer cases have been reported in the literature. We report a case of uterine rupture in second trime...Placenta percreta causing second trimester, spontaneous uterine rupture in non high risk women is less frequent and fewer cases have been reported in the literature. We report a case of uterine rupture in second trimester of pregnancy due to placenta percreta with non specific symptoms in otherwise uncomplicated pregnancy without any high risk factors. This case report describes the case of young woman presenting second gravid with 21 weeks pregnancy with complaints of whole abdomen pain and dysuria. Ultrasonography shows single intrauterine dead fetus;placenta was fundoposterior in upper segment, a hypoechoic area seen below the placenta suggestive of abruption placentae or placenta accreta. Suddenly patient deteriorated in two hours of hospital stay, frank hemoperitoneum detected, emergency laparotomy done, per operatively whole fundal area of uterus became papery thin and cystic on touch, a small rent seen on fundal surface of uterus. The placenta was densely adhered to the fundoposterior aspect of the uterus. Patient had emergency subtotal hysterectomy. This case highlights that placenta percreta is a rare but serious complication of pregnancy which may present in early pregnancy without any associated high risk factors for placenta percreta with unusual symptoms.展开更多
妊娠子宫嵌顿(incarceration of the gravid uterus,IGU)是一种罕见且严重的妊娠并发症,无特异性的临床表现。IGU可导致盆腔结构扭曲,于妊娠晚期行超声检查时易被误诊为前置胎盘,诊治不及时、不明确时可导致自然流产、早产、子宫破裂等...妊娠子宫嵌顿(incarceration of the gravid uterus,IGU)是一种罕见且严重的妊娠并发症,无特异性的临床表现。IGU可导致盆腔结构扭曲,于妊娠晚期行超声检查时易被误诊为前置胎盘,诊治不及时、不明确时可导致自然流产、早产、子宫破裂等不良妊娠结局。回顾分析1例妊娠晚期子宫嵌顿的病例。该病例无特异性临床表现,妊娠晚期常规产前彩色超声检查时被发现,收入院后于孕36周行剖宫产术终止妊娠,术中探查及术后病理明确了本例IGU是由于子宫底部腺肌瘤与周围组织形成了粘连,使子宫底部固定不能随妊娠周数的增长而延伸。本例母儿结局良好。分析总结IGU发病的高危因素、临床表现、影像学表现及治疗经验等,提高临床医师对该疾病的认识,降低IGU的漏诊率及误诊率,以改善妊娠结局。展开更多
文摘Placenta percreta causing second trimester, spontaneous uterine rupture in non high risk women is less frequent and fewer cases have been reported in the literature. We report a case of uterine rupture in second trimester of pregnancy due to placenta percreta with non specific symptoms in otherwise uncomplicated pregnancy without any high risk factors. This case report describes the case of young woman presenting second gravid with 21 weeks pregnancy with complaints of whole abdomen pain and dysuria. Ultrasonography shows single intrauterine dead fetus;placenta was fundoposterior in upper segment, a hypoechoic area seen below the placenta suggestive of abruption placentae or placenta accreta. Suddenly patient deteriorated in two hours of hospital stay, frank hemoperitoneum detected, emergency laparotomy done, per operatively whole fundal area of uterus became papery thin and cystic on touch, a small rent seen on fundal surface of uterus. The placenta was densely adhered to the fundoposterior aspect of the uterus. Patient had emergency subtotal hysterectomy. This case highlights that placenta percreta is a rare but serious complication of pregnancy which may present in early pregnancy without any associated high risk factors for placenta percreta with unusual symptoms.
文摘妊娠子宫嵌顿(incarceration of the gravid uterus,IGU)是一种罕见且严重的妊娠并发症,无特异性的临床表现。IGU可导致盆腔结构扭曲,于妊娠晚期行超声检查时易被误诊为前置胎盘,诊治不及时、不明确时可导致自然流产、早产、子宫破裂等不良妊娠结局。回顾分析1例妊娠晚期子宫嵌顿的病例。该病例无特异性临床表现,妊娠晚期常规产前彩色超声检查时被发现,收入院后于孕36周行剖宫产术终止妊娠,术中探查及术后病理明确了本例IGU是由于子宫底部腺肌瘤与周围组织形成了粘连,使子宫底部固定不能随妊娠周数的增长而延伸。本例母儿结局良好。分析总结IGU发病的高危因素、临床表现、影像学表现及治疗经验等,提高临床医师对该疾病的认识,降低IGU的漏诊率及误诊率,以改善妊娠结局。
