Second-trimester presentation of placenta percreta

被引:13
|
作者
Zeeman, GG
Allaire, A
Whitecar, P
Moise, KJ
机构
[1] Univ Texas, SW Med Sch, Div Maternal Fetal Med, Dept Obstet & Gynecol, Dallas, TX 75235 USA
[2] Univ N Carolina, Sch Med, Dept Obstet & Gynecol, Div Maternal Fetal Med, Chapel Hill, NC USA
关键词
placenta percreta; hemoperitoneum; midtrimester;
D O I
10.1055/s-1999-6808
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Placenta percreta is diagnosed usually in the third trimester as massive postpartum hemorrhage when an attempt to remove the placenta reveals lack of a cleavage plane. However, placenta percreta may present in the second trimester with signs and symptoms of uterine rupture. The diagnosis of this event may be difficult because of mild abdominal discomfort often associated with normal pregnancy. We describe two cases that occurred in the second trimester with an unusual presentation. Both patients suffered considerable surgical morbidity. Other cases reported in the literature are mentioned as well. When a patient with risk factors for abnormal placentation presents with abdominal pain and/or vaginal bleeding in the second trimester of pregnancy, the diagnosis of placenta percreta should be considered. A laparotomy is indicated immediately when hemoperitoneum is suspected because uterine rupture has most likely occurred. Placenta percreta in the second trimester is a potentially life-threatening condition that warrants expeditious diagnosis to limit maternal postoperative morbidity.
引用
收藏
页码:475 / 478
页数:4
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