| Placenta previa and accreta complicated by amniotic fluid embolism. | |
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MedLine Citation:
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PMID: 16596906 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The simultaneous occurrence of placenta previa and placenta accreta in patients who had previous low transverse cesarean delivery is presently well established. However, the sequence of previous cesarean delivery followed by placenta previa and accreta in a patient who also experiences a premature rupture of membranes as well as amniotic fluid embolism (AFE) is a rare obstetric phenomenon. CASE: A 24-year-old woman, para 2 with two previous cesarean deliveries, at 32 weeks' gestation by last menstrual period, was admitted with premature rupture of membranes. A repeat cesarean delivery (CD) was done. Excessive hemorrhage occurred, necessitating a hysterectomy. Also, the patient developed an amniotic fluid embolism. CONCLUSION: Placenta previa and placenta accreta may be observed in patients who have a previous CD scar and in whom AFE develops suddenly and unexpectedly. AFE, a condition with complex pathogenesis, presents a number of challenges, with the patient undergoing serious complications that may include massive hemorrhage, disseminated intravascular coagulopathy, and death. The obstetrician should be alert to the symptoms of AFE, and if they occur should begin prompt and aggressive treatment. |
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Authors:
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Amedee C Mathelier; Kirkor Karachorlu |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: International journal of fertility and women's medicine Volume: 51 ISSN: 1534-892X ISO Abbreviation: Int J Fertil Womens Med Publication Date: 2006 Jan-Feb |
Date Detail:
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Created Date: 2006-04-06 Completed Date: 2006-05-09 Revised Date: 2006-10-16 |
Medline Journal Info:
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Nlm Unique ID: 9706778 Medline TA: Int J Fertil Womens Med Country: United States |
Other Details:
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Languages: eng Pagination: 28-32 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology and of Pathology St. Bernard Hospital Chicago, Illinois, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cesarean Section, Repeat / adverse effects* Embolism, Amniotic Fluid / etiology*, physiopathology* Fatal Outcome Female Humans Hysterectomy Placenta Accreta / etiology*, physiopathology, surgery Placenta Previa / etiology*, physiopathology, surgery Postpartum Hemorrhage / etiology*, physiopathology, surgery Pregnancy |
| Comments/Corrections | |
Erratum In:
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Int J Fertil Womens Med. 2006 May-Jun;51(3):99 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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