Incarceration of a gravid uterus with massive placental enlargement and fetal triploidy at 19 weeks of gestation – A case report on the simultaneous presence of two rare conditions

IF 0.7 Q4 OBSTETRICS & GYNECOLOGY Case Reports in Women's Health Pub Date : 2023-11-15 DOI:10.1016/j.crwh.2023.e00564

Judith Sarah Abel, Bernd Morgenstern

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Abstract

This article reports a rare case of uterine incarceration in pregnancy concurrent with nonmolar fetal triploidy and massive placental enlargement in a 35-year-old primigravida. The patient presented with abdominal discomfort and peripheral edema at 19 weeks of gestation.

Diagnostic assessments revealed a retroflexed uterus with a massively enlarged placenta and a severely growth-restricted fetus. Uterine repositioning was successfully achieved after rectal filling. However, spontaneous fetal demise led to vaginal delivery. The fetal autopsy confirmed female triploidy. Histopathology of the placenta showed no features of a partial mole.

This case highlights the challenges in diagnosing uterine incarceration in pregnancy, the need for early intervention and the complexity of managing multiple concurrent pathologies.

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妊娠19周伴有大量胎盘增大和胎儿三倍体的妊娠子宫嵌顿-同时出现两种罕见情况的病例报告

本文报告一例罕见的妊娠期子宫嵌顿并发非磨牙胎儿三倍体和大量胎盘增大的病例。患者在妊娠19周出现腹部不适和周围水肿。诊断评估显示子宫后屈，胎盘大量增大，胎儿生长严重受限。直肠填充后子宫复位成功。然而，自然胎儿死亡导致阴道分娩。胎儿尸检证实为女性三倍体。胎盘组织病理学未见部分痣的特征。本病例强调了诊断妊娠期子宫嵌顿的挑战，早期干预的必要性以及管理多种并发病变的复杂性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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