Spontaneous uterine rupture caused by placenta percreta at 18 weeks' gestation after in vitro fertilization

被引：24

作者：

Martinez Medel, Jorge ^{[1
]}

Castan Mateo, Sergio ^{[1
]}

Rodrigo Conde, Cesar ^{[1
]}

Cabistany Esque, Ana Cristina ^{[2
]}

Rios Mitchell, Maria Jose ^{[3
]}

机构：

[1] Miguel Servet Univ Hosp, Dept Obstet, Zaragoza, Spain

[2] Miguel Servet Univ Hosp, Dept Emergency, Zaragoza, Spain

[3] Miguel Servet Univ Hosp, Dept Pathol, Zaragoza, Spain

来源：

JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH | 2010年 / 36卷 / 01期

关键词：

abnormal placentation; assisted reproduction; first trimester; placenta percreta; uterine rupture; 1ST TRIMESTER; ACCRETA; EXPRESSION; PREGNANCY; GENE;

D O I：

10.1111/j.1447-0756.2009.01082.x

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

We report a case of spontaneous uterine rupture caused by placenta percreta at 18 weeks' gestation after in vitro fertilization. Spontaneous uterine rupture is an extremely infrequent obstetric complication that may compromise the lives of the fetus and the mother. We describe the case of a pregnant woman at 18 weeks' gestation who presented with sudden abdominal pain and severe hemoperitoneum. We noticed a uterine rupture and carried out an urgent obstetric hysterectomy. The patient died due to hypovolemic shock and severe generalized coagulopathy. The pregnancy had been obtained via in vitro fertilization techniques. The patient did not have any risk factor or antecedent. The anatomopathological study showed a fundus uterine rupture caused by placenta percreta.

引用

页码：170 / 173

页数：4

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