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
目的探讨孕中期子宫动脉血流阻力参数联合血脂水平对妊娠期高血压疾病(hypertensive diseases during pregnancy,(HDP)的预测价值。方法回顾性分析,收集2021年1月至2023年1月医院收治的HDP孕妇40例临床资料,作为观察组,并收集同期在医...目的探讨孕中期子宫动脉血流阻力参数联合血脂水平对妊娠期高血压疾病(hypertensive diseases during pregnancy,(HDP)的预测价值。方法回顾性分析,收集2021年1月至2023年1月医院收治的HDP孕妇40例临床资料,作为观察组,并收集同期在医院孕检的40例健康孕妇临床资料,作为对照组。所有孕妇均有完整的孕期检查资料及随访资料,测定两组受检者(孕16周)的子宫动脉血流阻力参数及血脂水平并比较,重点分析孕中期子宫动脉血流阻力参数联合血脂水平预测HDP的价值。结果观察组收缩期峰值流速与舒张末期血流速度比值(S/D)、搏动指数(PI)及阻力指数(RI)、低密度脂蛋白(LDL)水平均比对照组高,高密度脂蛋白(HDL)水平比对照组低,有统计学差异(P<0.05);两组总胆固醇(TC)、甘油三酯(TG)水平比较,无统计学差异(P>0.05);绘制ROC曲线,结果显示,PI、RI、S/D、LDL、HDL预测HDP的AUC均>0.70,预测价值理想,且以PI、RI、S/D、LDL、HDL联合预测价值最佳。结论孕中期子宫动脉血流阻力参数联合血脂水平可有效预测HDP,有较高灵敏度、特异度。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.
文摘目的探讨孕中期子宫动脉血流阻力参数联合血脂水平对妊娠期高血压疾病(hypertensive diseases during pregnancy,(HDP)的预测价值。方法回顾性分析,收集2021年1月至2023年1月医院收治的HDP孕妇40例临床资料,作为观察组,并收集同期在医院孕检的40例健康孕妇临床资料,作为对照组。所有孕妇均有完整的孕期检查资料及随访资料,测定两组受检者(孕16周)的子宫动脉血流阻力参数及血脂水平并比较,重点分析孕中期子宫动脉血流阻力参数联合血脂水平预测HDP的价值。结果观察组收缩期峰值流速与舒张末期血流速度比值(S/D)、搏动指数(PI)及阻力指数(RI)、低密度脂蛋白(LDL)水平均比对照组高,高密度脂蛋白(HDL)水平比对照组低,有统计学差异(P<0.05);两组总胆固醇(TC)、甘油三酯(TG)水平比较,无统计学差异(P>0.05);绘制ROC曲线,结果显示,PI、RI、S/D、LDL、HDL预测HDP的AUC均>0.70,预测价值理想,且以PI、RI、S/D、LDL、HDL联合预测价值最佳。结论孕中期子宫动脉血流阻力参数联合血脂水平可有效预测HDP,有较高灵敏度、特异度。
