Cesarean section by transfundal approach for placenta previa percreta attached to anterior uterine wall in a woman with a previous repeat cesarean section: case report

2003 ◽  
Vol 83 (1) ◽  
pp. 115-116 ◽  
Author(s):  
Masaki Ogawa ◽  
Akira Sato ◽  
Kazuhito Yasuda ◽  
Dai Shimizu ◽  
Naoko Hosoya ◽  
...  
Keyword(s):  
Case Report ◽  
Cesarean Section ◽  
Placenta Previa ◽  
Uterine Wall ◽  
Repeat Cesarean Section

scholarly journals Uterus couvelaire after caesarean section: A challenging case report

2021 ◽  
Vol 29 (2) ◽  
pp. 68
Author(s):  
Rendy Singgih ◽  
Roy Jansen Sinaga ◽  
Yanto Hansitongan Sinaga
Keyword(s):  
Case Report ◽  
Cesarean Section ◽  
Placental Abruption ◽  
Placenta Previa ◽  
Post Partum ◽  
Uterine Wall ◽  
Direct Visualization ◽  
Rare Occurrence ◽  
Hemodynamic State ◽  
Maternal Monitoring

HIGHLIGHTS1. Uterus couvelaire, also known as uteroplacental apoplexy, is one of the causative post-partum haemorrhage and peripartum hysterectomy.2. The pathophysiology of uterus couvelaire are bleeding in the layer between the decidua-placenta, which then develops and infiltrates into the uterine wall.3. The uterine couvelaire is associated with placental abruption, placenta previa, coagulopathy, pre-eclampsia, uterine rupture, and amniotic fluid embolism.4. This case report shows the unknown of causative during delivery which can lead to maternal morbidity even mortality if there is no proper maternal monitoring during delivery.ABSTRACTObjectives: To discuss the discovery of uterine couvelaire events after the cesarean section without accompanying placental abruption.Case Report: Uterus Couvelaire is a rare occurrence. The incidence of this case is difficult to ascertain and its estimated incidence is as much as 20% and others’ estimatation is as low as 5%. It occurs mainly due to complications from placental abruption. When a vascular injury occurs in the placenta, it causes bleeding that infiltrates the wall of the uterus. This case is usually diagnosed accidentally because it is diagnosed only by direct visualization or biopsy. In this case, uterine couvelaire was found in a woman after a cesarean section that had been performed previously. Uterine couvelaire events are usually seen due to complications from placental abruption, but in this case, there was none.Conclusion: It was not known for sure what caused the emergence of the uterine couvelaire in this case. Hysterectomy was performed in this case due to the patient's unstable hemodynamic state.

scholarly journals Conservative Surgical Treatment of a Case of Placenta Accreta

2018 ◽  
Vol 40 (08) ◽  
pp. 494-496 ◽  
Author(s):  
Ismail Biyik ◽  
Fatih Keskin ◽  
Elif Keskin
Keyword(s):  
Cesarean Section ◽  
Placenta Accreta ◽  
Placenta Previa ◽  
Placental Tissue ◽  
Uterine Wall ◽  
Elective Cesarean Section ◽  
Triple P ◽  
Cesarean Hysterectomy ◽  
Uterine Incision ◽  
Fertility Sparing

AbstractPlacenta accreta syndromes are associated with increased maternal mortality and morbidity. Cesarean hysterectomy is usually performed in cases of placenta accreta syndrome. Fertility sparing methods can be applied. In the present study, we report a successful segmental uterine resection method for placenta accreta in the anterior uterine wall in a cesarean section case. A 39-year-old woman underwent an elective cesarean section at 38 + 2 weeks. A placental tissue with an area of 10 cm was observed extending from the anterior uterine wall to the serosa, 2 cm above the uterine incision line. The placental tissue was removed with the help of monopolar electrocautery. The uterine incision was continuously sutured. The patient was discharged on the second postoperative day. The placental pathology was reported as placenta accreta. The American College of Obstetricians and Gynecologists (ACOG) generally recommends cesarean section hysterectomy in cases of placenta accreta because removal of placenta associated with significant hemorrhage. Conservative and fertility sparing methods include placenta left in situ, cervical inversion technique and triple-P procedure. There are several studies reporting that segmental uterine resection is performed with and without balloon placement or artery ligation. Segmental uterine resection may be an alternative to cesarean hysterectomy to preserve fertility or to protect the uterus in cases of placenta accreta when there is no placenta previa.

scholarly journals Marginal umbilical cord insertions in a bipartite placenta responsible for placenta abruption: a case report

2021 ◽  
Vol 12 (5) ◽  
pp. 309-310
Author(s):  
Elie Nkwabong ◽  
Sylvie Borassi
Keyword(s):  
Case Report ◽  
Cesarean Section ◽  
Umbilical Cord ◽  
Fetal Heart ◽  
Past History ◽  
Placenta Previa ◽  
Blood Clot ◽  
Normal Pregnancy ◽  
African Woman ◽  
Emergency Cesarean

Hemorrhage is one of the major causes of maternal death. Main causes of APH are placenta previa, placenta abruption and uterine rupture. Rare causes of placenta abruption include marginal and velamentous umbilical cord insertions. We hereby present a case of placenta abruption due to marginal umbilical cord insertions occurring on a bipartite placenta. A 40-year-old nulliparous African woman, 35 weeks pregnant consulted for dark red pervaginal bleeding, which occurred recently. Past history was unremarkable. Her pregnancy was well followed up. A recent ultrasound scan revealed a fundal inserted placenta. Physical examination revealed a fundal height of 37 cm, no uterine activity, normal fetal heart tones and a blood-stained vulva. Our diagnosis was a mild placenta abruption. An obstetrical ultrasound carried out revealed a normal pregnancy and a retroplacental blood clot of 11mm. A safe baby was born through an emergency cesarean section which revealed a normally inserted bipartite placenta with a 10% placenta detachment located on one placenta half and two cords inserted marginally. The postoperative period was uneventful and she was discharged five days after cesarean section. This case report shows that marginal cord insertion, which can lead to placenta abruption, can be also observed on a bipartite placenta.

scholarly journals Acute Renal Failure and Laminitis Following Cesarean Section in a Friesian Mare. A Case Report

2021 ◽  
Vol 78 (1) ◽  
pp. 140
Author(s):  
Zsofia DARADICS ◽  
Mirela Alexandra RUS ◽  
Antonia POPA ◽  
Cristian M. CRECAN ◽  
Cosmin P. PEȘTEAN ◽  
...  
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Case Report ◽  
Cesarean Section ◽  
Intensive Therapy ◽  
Disease Process ◽  
Uterine Wall ◽  
Birth Canal ◽  
First Case ◽  
Profuse Hemorrhage

The term dystocia refers to an abnormal birth and the most common cause is an abnormal alignment of the head or forelimbs in the birth canal. Usually in adult horses, acute renal failure occurs as a complication of another disease process that causes hypovolemia . Diarrhea and severe laminitis may develop in more serious cases. The aim of this case report was to present a cesarean section in the mare that evolved with renal failure and subsequent with laminitis. A nine year old Friesian mare was referred to the Veterinary teaching hospital FMV Cluj-Napoca, after a dystocia that could not be resolved conservatively.During surgery, profuse hemorrhage was noticed during the incision and suture of the uterine wall. Hypovolemia was corrected and recovery was uneventful. Two days after surgery, the mare developed acute hyposthenuric renal failure. After 3 days of intensive therapy, kidney function started to improve but the mare developed laminitis. The mare improved over a few weeks and was discharged after orthopedic shoeing. According to the author’s knowledge, this is the first case report of a cesarean section in the mare that evolved into this cascade of sequelae.

Prolonged Symptomatic Neonatal Hypoglycemia Associated with Maternal Chlorpropamide Therapy

PEDIATRICS ◽  
1968 ◽  
Vol 42 (5) ◽  
pp. 824-825
Author(s):  
Preston Zucker ◽  
Gilbert Simon
Keyword(s):  
Case Report ◽  
Cesarean Section ◽  
Blood Sugar ◽  
White Male ◽  
Neonatal Hypoglycemia ◽  
Infants Of Diabetic Mothers ◽  
Repeat Cesarean Section ◽  
Diabetic Mothers

Ordinarily, the hypoglycemia of infants of diabetic mothers is brief and asymptomatic.1 It is considered to result from fetal hyperinsulinism secondary to prenatal hyperglycemia. The infant described below had prolonged symptomatic hypoglycemia associated with maternal chlorpropamide (Diabinese) therapy. Case Report The patient, a 3,715 gm white male, was the product of a 37-week gestation of a gravida 3, para 2, A positive, 36-year-old mother by repeat cesarean section. The mother, a mild diabetic since age 31, had been receiving 250 mg chlorpropamide twice daily, including the morning of her delivery. The infant's blood sugar was 20 mg/100 ml at 4 hours of age, and he was then transferred to Babies Hospital for further care.

Placenta Previa Totalis Complicated with Pulmonary Embolism during Cesarean Section: A Case Report

2005 ◽  
Vol 31 (03) ◽  
pp. 321-326 ◽  
Author(s):  
Tomoko Adachi ◽  
Izumi Umezaki ◽  
Hiroya Okano ◽  
Kazunari Hashiguchi ◽  
Yoshio Matsuda ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Case Report ◽  
Cesarean Section ◽  
Placenta Previa

scholarly journals Clinical case of expectant tactics of scar pregnancy and childbirth in the III trimester

2021 ◽  
pp. 27-32
Author(s):  
O.D. Shchurevska ◽  
N.P. Honcharuk
Keyword(s):  
Cesarean Section ◽  
Ultrasound Examination ◽  
Placenta Previa ◽  
First Trimester ◽  
Uterine Wall ◽  
The Body ◽  
Cesarean Scar Pregnancy ◽  
Cesarean Scar ◽  
Pregnancy And Childbirth ◽  
Future Fertility

One of the rare complications of a previous cesarean section is pregnancy with implantation in the area of the postoperative scar. The literature describes isolated reports of this pathology, which relate to early pregnancy. The forecast and tactics of their management are debatable issues.This article presents a case of successful monitoring of pregnancy and childbirth of a patient with a combined pathology: the placenta in the area of the cesarean scar with its diastase and central placenta previa with the germination of the uterine wall.The 34-year-old pregnant woman (III pregnancy and II expected childbirth) during ultrasound examination central a placenta previa was diagnosed. It had ingrowth into the uterine wall creating defect of the cesarean scar. Informed about the possible risks, patient strongly insisted on prolonging the pregnancy. Since 23 weeks she was in an obstetric hospital for the possibility of urgent surgery. Within 37 weeks, a planned caesarean section was performed by bottom access with subsequent extirpation of the uterus. Literary data from different countries almost all describe the completion of cesarean scar pregnancy in the first and second trimesters. Due to the rarity, heterogeneity of groups and the lack of a single protocol for the management of this pathology, combined or modified approaches to treatment are more often used. Primary prevention should begin at the stage of preventing a high frequency of cesarean section, reviewing the indications for it and conducting a truly justified surgery. Preconceprion care should be mandatory when planning the next pregnancy. Great attention should be paid to the localization of the chorion in the protocol of the screening ultrasound examination of the first trimester if there is uterine scar. In the case of a cesarean scar pregnancy, we cannot recommend an expectant tactics at this stage. Any method that eliminates cesarean scar pregnancy, especially in the early term, will saving the body and future fertility, as well as reduces morbidity and mortality.

scholarly journals Maternal and fetal death due to placenta previa/accreta ina concealed pregnancy - a case report

2006 ◽  
Vol 59 (5-6) ◽  
pp. 277-280
Author(s):  
Bozidar Jovanovic ◽  
Momcilo Djordjevic
Keyword(s):  
Case Report ◽  
Postpartum Hemorrhage ◽  
Fetal Death ◽  
Placenta Accreta ◽  
Placenta Previa ◽  
Uterine Wall ◽  
The Other ◽  
Lethal Outcome ◽  
Major Hemorrhage ◽  
Meconium Aspiration

Introduction. This is a case report of maternal and fetal death due to major hemorrhage of a patients with placenta previa/accreta in a concealed pregnancy. Bleeding is the leading cause of maternal mortality in obstetrics. Postpartum hemorrhage is the most important cause of maternal death. Placenta accreta is a severe complication involving an abnormal attachment to the uterine wall so that it cannot be easily separated from the uterus. Case report. Due to the fact that one part of the placenta is partially detached, while the other part has grown into the uterus, postpartum hemorrhage may occur with lethal outcome, unless the mother is hospitalized. Fetal death was caused by severe meconium aspiration. One way to prevent such complications is to support legal abortions. .

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