Document Detail


Uterine conservation despite severe sepsis in a case of placenta accreta first treated conservatively: 3-month delayed successful removal of the placenta.
MedLine Citation:
PMID:  19304286     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To report a case of successful delayed removal of a placenta accreta first treated conservatively. Secondary infectious complications can occur after conservative management in cases of placenta accreta, most often leading to hysterectomy. DESIGN: Case report. SETTING: A French teaching hospital. PATIENT(S): A 33-year-old woman. INTERVENTION(S): A healthy 33-year-old woman underwent Cesarean section for her first pregnancy. Diagnosis of placenta accreta was made at ultrasound scanning for her second pregnancy. She was first treated conservatively. Hysterectomy was planned 3 months after conservative treatment because of sepsis attributed to uterine retention. (Hysterotomy was first realized.)-?? MAIN OUTCOME MEASURE(S): Uterine conservation. RESULT(S): The placenta was easily and successfully removed with no subsequent bleeding. The uterus was sutured and conserved. CONCLUSION(S): In cases of delayed sepsis because of uterine retention after conservative treatment for placenta accreta, when medical treatment remains unsuccessful, manual removal of the placenta should be attempted. This approach might allow improved uterine conservation rates in women with placenta accreta treated conservatively.
Authors:
Olivier Morel; Patrice Desfeux; Yann Fargeaudou; Cécile Malartic; Mathias Rossignol; Chantal Perrotez; Emmanuel Barranger
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-03-21
Journal Detail:
Title:  Fertility and sterility     Volume:  91     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-05-07     Completed Date:  2009-05-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1957.e5-9     Citation Subset:  IM    
Affiliation:
Obstetrics and Gynecology unit, Lariboisière Hospital, APHP, Paris, France. olivier.morel17@wanadoo.fr
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Humans
Placenta Accreta / pathology,  surgery*
Pregnancy
Sepsis / etiology*
Time Factors

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


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