Document Detail

Abdominal pain and dysuria in pregnancy: urinary tract infection or life threatening haemorrhage?
MedLine Citation:
PMID:  16299219     Owner:  NLM     Status:  MEDLINE    
This report describes the case of a 27 year old woman presenting at 19 weeks' gestation with epigastric pain and dysuria. Initially diagnosed with a urinary tract infection, she re-presented 10 days later with acute abdominal pain and haemoperitoneum. The diagnosis of placenta percreta was not made until laparotomy. This case highlights placenta percreta as a rare but serious complication of pregnancy that may become increasingly frequent as the rates of caesarean delivery rise. Early diagnosis, close monitoring, and prompt surgical management are essential as massive blood loss can occur. This can be challenging, as clinical presentation can be unusual.
M J Lamyman; H Connor; R Brown
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Emergency medicine journal : EMJ     Volume:  22     ISSN:  1472-0213     ISO Abbreviation:  Emerg Med J     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2005-11-21     Completed Date:  2006-03-10     Revised Date:  2009-02-11    
Medline Journal Info:
Nlm Unique ID:  100963089     Medline TA:  Emerg Med J     Country:  England    
Other Details:
Languages:  eng     Pagination:  918-9     Citation Subset:  IM    
Accident and Emergency Department, St. Mary's Hospital NHS Trust, London, UK.
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MeSH Terms
Abdominal Pain / etiology*
Diagnosis, Differential
Placenta Accreta / diagnosis*
Urinary Tract Infections / complications,  diagnosis*
Urination Disorders / etiology*

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