Rachel Newman, Alia Nazir, Michael Leung, Deepali Patni
{"title":"疑似角妊娠胎盘滞留的子宫切除术。","authors":"Rachel Newman, Alia Nazir, Michael Leung, Deepali Patni","doi":"10.1136/bcr-2024-261450","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Angular pregnancy is a rare event and is a commonly missed diagnosis in the antepartum period. Data regarding the optimal mode of delivery and management of the placenta are limited.</p><p><strong>Case description: </strong>A patient in her 30s, gravida 3, para 1 presented at 37 weeks with severe range blood pressure and was admitted for induction of labour due to preeclampsia. Her labour course and delivery of the neonate were uncomplicated. Despite attempts at manual extraction and suction dilation and curettage, the placenta was unable to be removed. Ultrasound revealed the placenta in the right cornua, suspicious for angular pregnancy. She was taken to the operating room for exploratory laparotomy and hysterotomy for extraction of the placenta. She had an uncomplicated postpartum course and was discharged home on postpartum day 4.</p><p><strong>Conclusion: </strong>In patients with suspected angular pregnancy, exploratory laparotomy and hysterotomy may be required for placental removal.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"17 11","pages":""},"PeriodicalIF":0.6000,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Hysterotomy for retained placenta in suspected angular pregnancy.\",\"authors\":\"Rachel Newman, Alia Nazir, Michael Leung, Deepali Patni\",\"doi\":\"10.1136/bcr-2024-261450\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Angular pregnancy is a rare event and is a commonly missed diagnosis in the antepartum period. Data regarding the optimal mode of delivery and management of the placenta are limited.</p><p><strong>Case description: </strong>A patient in her 30s, gravida 3, para 1 presented at 37 weeks with severe range blood pressure and was admitted for induction of labour due to preeclampsia. Her labour course and delivery of the neonate were uncomplicated. Despite attempts at manual extraction and suction dilation and curettage, the placenta was unable to be removed. Ultrasound revealed the placenta in the right cornua, suspicious for angular pregnancy. She was taken to the operating room for exploratory laparotomy and hysterotomy for extraction of the placenta. She had an uncomplicated postpartum course and was discharged home on postpartum day 4.</p><p><strong>Conclusion: </strong>In patients with suspected angular pregnancy, exploratory laparotomy and hysterotomy may be required for placental removal.</p>\",\"PeriodicalId\":9080,\"journal\":{\"name\":\"BMJ Case Reports\",\"volume\":\"17 11\",\"pages\":\"\"},\"PeriodicalIF\":0.6000,\"publicationDate\":\"2024-11-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"BMJ Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1136/bcr-2024-261450\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMJ Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1136/bcr-2024-261450","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
Hysterotomy for retained placenta in suspected angular pregnancy.
Background: Angular pregnancy is a rare event and is a commonly missed diagnosis in the antepartum period. Data regarding the optimal mode of delivery and management of the placenta are limited.
Case description: A patient in her 30s, gravida 3, para 1 presented at 37 weeks with severe range blood pressure and was admitted for induction of labour due to preeclampsia. Her labour course and delivery of the neonate were uncomplicated. Despite attempts at manual extraction and suction dilation and curettage, the placenta was unable to be removed. Ultrasound revealed the placenta in the right cornua, suspicious for angular pregnancy. She was taken to the operating room for exploratory laparotomy and hysterotomy for extraction of the placenta. She had an uncomplicated postpartum course and was discharged home on postpartum day 4.
Conclusion: In patients with suspected angular pregnancy, exploratory laparotomy and hysterotomy may be required for placental removal.
期刊介绍：
BMJ Case Reports is an important educational resource offering a high volume of cases in all disciplines so that healthcare professionals, researchers and others can easily find clinically important information on common and rare conditions. All articles are peer reviewed and copy edited before publication. BMJ Case Reports is not an edition or supplement of the BMJ.
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