scholarly journals VP06.14: Retained placenta after abortion in relation to placental site hyperplasia

2021 ◽  
Vol 58 (S1) ◽  
pp. 123-123
Author(s):  
K.K. Mekni
2014 ◽  
Vol 6 (3) ◽  
pp. 195-198 ◽  
Author(s):  
Rahul Manchanda ◽  
Soma Ghoshal ◽  
Anushree Mittal ◽  
BC Manjula

ABSTRACT Retained placenta is a serious cause of postpartum hemorrhage and maternal mortality. The optimal management of placenta accreta remains a topic of debate. We report here a 37-year-old woman with previous two cesareans and two curettages, with postdelivery retained placenta accreta who was diagnosed properly and underwent successful conservative treatment with hysteroscopic resection, with conservation of uterus. Placental tissue invasion at the scar site was diagnosed by ultrasound and MRI in a relatively asymptomatic patient. β-hCG value was on lower side and with a differential diagnosis of placental site trophoblastic tumor (PSTT). Hysteroscopic tissue biopsy was done and a ball of tissue approximately 655 cm invading the previous cesarean scar was visualized. Biopsy report came out to be retained placental tissue. Hysteroscopic resection was done with laparoscopic guidance. Patient followup done with repeat ultrasound and β-hCG. How to cite this article Ghoshal S, Manchanda R, Manjula BC, Mittal A. A Unique Case of Nonradical Management of Retained Placenta Accreta. J South Asian Feder Obst Gynae 2014;6(3):195-198.


2005 ◽  
Vol 6 (1) ◽  
pp. 59-61 ◽  
Author(s):  
C PALMIERI ◽  
R FISHER ◽  
N SEBIRE ◽  
J SMITH ◽  
E NEWLANDS

1999 ◽  
Vol 40 (1) ◽  
pp. 137 ◽  
Author(s):  
Kang Hoon Lee ◽  
Kyung Sup Song ◽  
Jae Young Byun ◽  
Seog Nyeon Bae ◽  
Hyeon Sook Kim

2021 ◽  
Vol 14 (2) ◽  
pp. e238945
Author(s):  
Olga Triantafyllidou ◽  
Stavroula Kastora ◽  
Irini Messini ◽  
Dimitrios Kalampokis

Subinvolution of placental sites (SPSs) is a rare but severe cause of secondary postpartum haemorrhage (PPH). SPS is characterised by the abnormal persistence of large, dilated, superficially modified spiral arteries in the absence of retained products of conception. It is an important cause of morbidity and mortality of young women. In this study, we present a case of secondary PPH in a young woman after uncomplicated caesarean delivery who was deemed clinically unstable, and finally, underwent emergent total abdominal hysterectomy. We reviewed the literature with an emphasis on the pathophysiology of this situation. Treatment of patients with SPS includes conservative medical therapy, hysterectomy and fertility-sparing percutaneous embolotherapy.


Lupus ◽  
2021 ◽  
pp. 096120332098176
Author(s):  
Sarah J van der Lely ◽  
Jeffrey Boorsma ◽  
Marc Hilhorst ◽  
Jesper Kers ◽  
Joris Roelofs ◽  
...  

Introduction: Placental site trophoblastic tumor (PSTT) is a rare subtype of gestational trophoblastic disease. Association of PSTT and nephrotic syndrome is exceedingly rare and has been described in 8 cases thus far. In all cases hysterectomy was performed within months after onset of symptoms, leading to immediate remission of nephrotic syndrome, except for one patient who died of complications of PSTT. Case: We describe the history of a woman in which PSTT was discovered years after onset of nephrotic syndrome. Kidney biopsy revealed lupus-like mesangiocapillary nephritis and over time the patient developed additional symptoms mimicking systemic lupus erythematosus (SLE). Discussion: We provide an overview of the literature on this clinical entity and elaborate on its pathophysiology. In addition, we reflect on the phenomenon of anchoring bias, that led physicians to assume the patient had SLE without questioning this diagnosis in the light of the unexplained finding of increased tumor markers.


Sign in / Sign up

Export Citation Format

Share Document