Document Detail


Severe complication after termination of a second trimester cervical pregnancy.
MedLine Citation:
PMID:  18452917     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To report a supracervical hysterectomy performed after a life-threatening hemorrhage due to an attempted surgical termination at a gestational age of 18 weeks, which appeared to be a cervical pregnancy. DESIGN: Case report. SETTING: Teaching hospital. PATIENT(S): A 36-year-old pregnant woman, with two previous cesarean sections. INTERVENTION(S): Supracervical hysterectomy. MAIN OUTCOME MEASURE(S): Not applicable. RESULT(S): A stable patient. CONCLUSION(S): By missing a cervical pregnancy in the second trimester, a life-threatening hemorrhage occurred after an attempted surgical termination. In case of failure of the conservative therapy this rare diagnosis should be considered. A supracervical hysterectomy at this gestational age is the only therapeutic option.
Authors:
Miriam M F Hanstede; Dirk B van't Hof; Krijn van Groningen; Irene M de Graaf
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-05-01
Journal Detail:
Title:  Fertility and sterility     Volume:  90     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-11-10     Completed Date:  2008-12-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2009.e5-7     Citation Subset:  IM    
Affiliation:
Department of Obstetric and Gynaecology, Spaarne Ziekenhuis, Hoofddorp, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Abortion, Therapeutic / adverse effects*
Adult
Blood Transfusion
Female
Humans
Hysterectomy
Pregnancy
Pregnancy Trimester, Second
Pregnancy, Ectopic / therapy*
Severity of Illness Index
Shock / etiology
Treatment Outcome
Uterine Hemorrhage / etiology*,  pathology,  therapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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