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Placenta percreta with a vaginal fistula after successful management by uterine transverse fundal incision and subsequent cesarean hysterectomy
- Source :
- Obstetrics & Gynecology Science
- Publication Year :
- 2014
- Publisher :
- Korean Society of Obstetrics and Gynecology, 2014.
-
Abstract
- Placenta previa presents a highest risk to pregnancy, and placenta accreta is the most serious. Placenta accreta requires cesarean delivery and often results in massive obstetric hemorrhage and higher maternal morbidity. Challenges associated with cesarean delivery techniques may contribute to increased maternal blood loss and morbidity rates. Several recent obstetric studies reported the usefulness of transverse uterine fundal incision for managing placenta accreta. We present a case of placenta percreta that was treated by a transverse fundal incision. We successfully avoided cutting through the placenta and helped decrease maternal blood loss. After delivery, the patient underwent a cesarean hysterectomy. Postoperative day 48, she experienced watery discharge and was diagnosed with vaginal fistula. We present our case and review the literature.
- Subjects :
- medicine.medical_specialty
Pregnancy
Vaginal fistula
Obstetrics
business.industry
Placenta accreta
Placenta Percreta
Obstetrics and Gynecology
Case Report
medicine.disease
Maternal-Fetal Medicine
Surgery
Placenta previa
medicine.anatomical_structure
Obstetrics and gynaecology
Cesarean hysterectomy
Placenta
embryonic structures
medicine
business
Uterine transverse fundal incision
reproductive and urinary physiology
Subjects
Details
- ISSN :
- 22878580 and 22878572
- Volume :
- 57
- Database :
- OpenAIRE
- Journal :
- Obstetrics & Gynecology Science
- Accession number :
- edsair.doi.dedup.....4261dfd1679b4353e00494e454b42a2b