Document Detail

Placental abruption in association with advanced abdominal pregnancy. A case report.
MedLine Citation:
PMID:  8551479     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Recognition of advanced abdominal pregnancy and care of the patient afflicted with it may present formidable challenges. Aside from the difficulty of diagnosing the problem and thereby delaying necessary intervention, management can be difficult at best, even when the condition is relatively uncomplicated. When it is compounded by a life-threatening complication, such as uncontrollable hemorrhage, it challenges the skills of the most experienced obstetrician and the resources of the best-equipped facility and its personnel. CASE: Partial placental separation was encountered at surgery; it progressed intraoperatively despite the care taken to avoid disturbing the placental implantation site. Severe hemorrhage was controlled by a combination of aortic compression, packing and use of large "liver" sutures incorporating the uterine wall for tamponade of the principal placental implantation site, on the mesentery. CONCLUSION: It is important to be prepared to deal with the complication of intense intraabdominal bleeding in the course of intraoperative management of abdominal pregnancy.
S Yu; J A Pennisi; M Moukhtar; E A Friedman
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  40     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  1995 Oct 
Date Detail:
Created Date:  1996-02-21     Completed Date:  1996-02-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  731-5     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Flushing Hospital Medical Center, Queens, New York 11355, USA.
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MeSH Terms
Abruptio Placentae / complications*,  surgery*
Hemostasis, Surgical / methods
Pregnancy, Abdominal / complications*,  surgery*
Uterine Hemorrhage / etiology*

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