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A Case of Placenta Increta Mimicking Submucous Leiomyoma

机译:胎盘增生模拟黏膜下平滑肌瘤1例

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摘要

In recent years with the increase in cesarean section rates, the frequency of placenta accreta cases rises. It causes 33–50% of all emergency peripartum hysterectomies. We present a 42-year-old case who was caught with early postpartum hemorrhage due to retained placental products. The ultrasonography showed a 65 × 84 mm mass in the uterine cavity after the delivery. Due to presence of early postpartum hemorrhage which needs transfusion, an intervention decision was made. The patient underwent curettage but the mass could not be removed so that placental retention was ruled out. Submucous leiomyoma was made as first-prediagnosis. Hysterectomy operation was performed as a curative treatment. Placenta increta diagnosis was made as a final diagnosis with pathological examination. As a result, placental attachment disorders may be overlooked if it is not a placenta previa case.
机译:近年来,随着剖宫产率的增加,胎盘植入病例的发生率上升。它引起所有紧急围产期子宫切除术的33-50%。我们提出了一个42岁的病例,由于保留的胎盘产物而被发现早期产后出血。超声检查显示分娩后子宫腔内肿块为65×84 mm。由于存在需要输血的早期产后出血,因此做出了干预决定。患者行刮除术,但肿块无法清除,因此排除了胎盘滞留。粘膜下平滑肌瘤被认为是第一诊断。子宫切除术作为治愈性治疗。病理诊断为胎盘增量诊断为最终诊断。结果,如果不是前置胎盘,则胎盘附着障碍可能会被忽略。

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