We report a case of a 40</span><span style="font-family:Verdana;">-</span><span style="font-family:Verdana;">year-old woman, second pregnancy, previous cesarean section due ...We report a case of a 40</span><span style="font-family:Verdana;">-</span><span style="font-family:Verdana;">year-old woman, second pregnancy, previous cesarean section due to intrauterine growth restriction and placenta accreta spectrum disorders. She was 25 weeks gestational age, admitted to the hospital 25 weeks gestational age, diagnosed with fetal death. Initial conservative management attempt with uterine preservation progresses to complications requiring total hysterectomy followed by a rare outcome: pelvic thrombi with uterine necrosis, with its associated clinical complications.展开更多
INTRODUCTIONThe incidence of the morbidly adherent placenta has been increasing due to the increased rate of cesarean section. Life-threatening hemorrhage is the major concern for the morbidly adherent placenta, and e...INTRODUCTIONThe incidence of the morbidly adherent placenta has been increasing due to the increased rate of cesarean section. Life-threatening hemorrhage is the major concern for the morbidly adherent placenta, and efficient bleeding control of lower uterine segment is critical to improve outcomes. When traditional conservative methods do not work, further surgical procedures should be attempted. There are several conservative surgical approaches for lower uterine compression, and peripartum hysterectomy is avoided. In the present study, we aimed to report a rather easy suturing method to compress the lower uterine.展开更多
To editor:Cesarean scar pregnancy(CSP)is a rare pathology,with an increasingly clear association with morbidly adherent placenta(MAP).1 Although the most recommended treatment is pregnancy termination by cesarean sect...To editor:Cesarean scar pregnancy(CSP)is a rare pathology,with an increasingly clear association with morbidly adherent placenta(MAP).1 Although the most recommended treatment is pregnancy termination by cesarean section and scar resection shortly after diagnosis.2 The final decision regarding management depends on the patient's choice,medical advice,the fertility desire,and the social,religious and emotional background that should also be taken into account.展开更多
文摘We report a case of a 40</span><span style="font-family:Verdana;">-</span><span style="font-family:Verdana;">year-old woman, second pregnancy, previous cesarean section due to intrauterine growth restriction and placenta accreta spectrum disorders. She was 25 weeks gestational age, admitted to the hospital 25 weeks gestational age, diagnosed with fetal death. Initial conservative management attempt with uterine preservation progresses to complications requiring total hysterectomy followed by a rare outcome: pelvic thrombi with uterine necrosis, with its associated clinical complications.
文摘INTRODUCTIONThe incidence of the morbidly adherent placenta has been increasing due to the increased rate of cesarean section. Life-threatening hemorrhage is the major concern for the morbidly adherent placenta, and efficient bleeding control of lower uterine segment is critical to improve outcomes. When traditional conservative methods do not work, further surgical procedures should be attempted. There are several conservative surgical approaches for lower uterine compression, and peripartum hysterectomy is avoided. In the present study, we aimed to report a rather easy suturing method to compress the lower uterine.
文摘To editor:Cesarean scar pregnancy(CSP)is a rare pathology,with an increasingly clear association with morbidly adherent placenta(MAP).1 Although the most recommended treatment is pregnancy termination by cesarean section and scar resection shortly after diagnosis.2 The final decision regarding management depends on the patient's choice,medical advice,the fertility desire,and the social,religious and emotional background that should also be taken into account.