一个罕见的胎盘增大病例 - 病例报告

Shweta S Nemagoud, Ravi Raval, Pooja B Dahiphale
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引用次数: 0

摘要

近年来,随着剖宫产率的提高,PAS 病例的发生率也有所上升。在所有紧急围产期或产科子宫切除术中,PAS 占 33%-50%。PAS 是一种产科急症,产妇发病率和死亡率都很高,给诊断和治疗带来了独特的挑战。我们接诊了一名 24 岁的第三胎孕妇,她曾有过 2 次 LSCS,在不知道自己怀孕的情况下出现了宫外孕出血。该孕妇妊娠 22 周,曾有过 2 次 LSCS,前置胎盘并伴有活动性 PV 出血,根据术中证据和严重失血性休克的不稳定生命体征,对其进行了产科子宫切除术。术后恢复和随访顺利。
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A RARE CASE OF PLACENTA INCRETA – CASE REPORT
In these years with the raise in cesarean section rates, the frequency of PAS cases has risen. It has accounted for 33–50% of all emergency peripartum or obstetric hysterectomies. PAS is an obstetric emergency associated with a high maternal morbidity and mortality rate, presenting unique challenges in its diagnosis and management. We present a 24-year-old third gravida with previous 2 LSCS, who presented with PV bleeding, being unaware of pregnancy. This 22week pregnancy with previous 2 LSCS with placenta previa with active PV bleed, was managed surgically with obstetric hysterectomy as per intraoperative evidence and unstable vitals with severe hemorrhagic shock. Post operative recovery and follow-up was uneventful.
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