tailieunhanh - Báo cáo y học: "Placenta Percreta-Induced Uterine Rupture Diagnosed By Laparoscopy in the First Trimester"

Tuyển tập các báo cáo nghiên cứu khoa học ngành y học tạp chí Medical Sciences dành cho các bạn sinh viên ngành y tham khảo đề tài: Placenta Percreta-Induced Uterine Rupture Diagnosed By Laparoscopy in the First Trimester. | Int. J. Med. Sci. 2011 8 424 IVYSPKING . . . 1 . International Journal of Medical Sciences 2011 8 5 424-427 Case Report Placenta Percreta-Induced Uterine Rupture Diagnosed By Laparoscopy in the First Trimester Dong Gyu Jang Gui Se Ra Lee Joo Hee Yoon Sung Jong Lee x Department of Obstetrics and Gynecology College of Medicine St. Vincent s Hospital The Catholic University of Korea Seoul Korea H Corresponding author Sung Jong Lee Department of Obstetrics Gynecology St. Vincent s Hospital 93-6 Ji-dong Paldal-gu Suwon Kyeonggi 442-723 Korea Tel 82-31-249-7300 Fax 82-31-254-7481 E-mail orlando@ Ivyspring International Publisher. This is an open-access article distributed under the terms of the Creative Commons License http licenses by-nc-nd . Reproduction is permitted for personal noncommercial use provided that the article is in whole unmodified and properly cited. Received Accepted Published Abstract Spontaneous uterine rupture is lethal in pregnant women. Placenta percreta-induced spontaneous uterine rupture in the first trimester is extremely rare and difficult to diagnose. A 35-year-old pregnant woman with a history of 2 vaginal deliveries and 2 spontaneous abortions treated by dilatation and curettage was admitted to the emergency department because of sudden severe abdominal pain the gestational age as calculated by sonography was 14 weeks. Diagnostic laparoscopy was considered for surgical abdomen and fluid collection that was noted in sonography. During laparoscopy uterine rupture with massive bleeding was detected therefore total abdominal hysterectomy was performed. The patient was discharged without any complications. Pathological analysis of the uterine specimen revealed placenta percreta to be the cause of the rupture. Uterine rupture should be considered in the differential diagnosis in all pregnant women who present with acute abdomen show fluid collection in the peritoneal cavity. In

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