Document Detail


Placenta previa and accreta complicated by amniotic fluid embolism.
MedLine Citation:
PMID:  16596906     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Amedee C Mathelier; Kirkor Karachorlu
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
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:
Created Date:  2006-04-06     Completed Date:  2006-05-09     Revised Date:  2006-10-16    
Medline Journal Info:
Nlm Unique ID:  9706778     Medline TA:  Int J Fertil Womens Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  28-32     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology and of Pathology St. Bernard Hospital Chicago, Illinois, USA.
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MeSH Terms
Descriptor/Qualifier:
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:
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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