1/6. placenta percreta causing acute abdomen in the second trimester of pregnancy.Two cases of acute abdomen due to haemoperitoneum caused by placenta percreta in the second trimester are presented. Both had a history of previous lower segment caesarean section, a factor well-known to predispose the condition. However, the rarity of the condition, presenting in mid pregnancy makes diagnosis and management difficult. Optimum ways of management are discussed.- - - - - - - - - - ranking = 1keywords = placenta (Clic here for more details about this article) |
2/6. Term abdominal pregnancy misdiagnosed as abruptio placenta.A 37 year old multiparous woman at 37th week gestation presented with an undiagnosed abdominal pregnancy and acute abdomen following forceful reduction of an associated utero-vaginal prolapse. She had an urgent laparotomy with delivery of a live female baby lying in the left broad ligament. The baby weighed 2.6kg with Apgar scores of 2 and 6 at first and fifth minutes respectively. The partially detached placenta was easily delivered complete with membranes. Haemostasis was secured by ligation and excision of the left adnexum (broad ligament with the pregnancy sac and uterine appendages). She was transfused with two units of whole blood. This case highlights the importance of excluding pregnancy in any woman of reproductive age with undiagnosed abdominal mass and utero-vaginal prolapse before any manipulation. It also underscores the importance of ultrasound scan in early pregnancy by a competent sonologist.- - - - - - - - - - ranking = 5keywords = placenta (Clic here for more details about this article) |
3/6. Acute abdomen due to placenta percreta.placenta percreta is a rare but serious complication of pregnancy, usually presenting itself in the third trimester. The incidence of fetal death and maternal mortality is high. We report a case presenting as an acute abdomen, due to haemoperitoneum at 33 weeks of pregnancy. incidence, etiology, diagnosis and treatment are discussed, and the literature is reviewed.- - - - - - - - - - ranking = 4keywords = placenta (Clic here for more details about this article) |
4/6. Acute abdomen caused by placenta percreta in the second trimester.A woman with a history of "in utero" diethylstilbestrol exposure but no prior uterine surgery presented with an acute abdomen at 21 weeks' gestation. She had hemoperitoneum associated with placenta percreta.- - - - - - - - - - ranking = 5keywords = placenta (Clic here for more details about this article) |
5/6. Conservative surgical management of acute abdomen caused by placenta percreta in the second trimester.placenta percreta accompanied by intraabdominal hemorrhage and acute abdomen in the second trimester is described. Suturing the myometrial defect created by the protruding placenta prolonged the pregnancy and achieved a viable fetus. Successful achievement of hemostasis, prolongation of the pregnancy, and survival of mother and fetus should encourage "conservative" surgery.- - - - - - - - - - ranking = 5keywords = placenta (Clic here for more details about this article) |
6/6. Spontaneous rectus sheath hematoma during pregnancy mimicking abruptio placenta.Sudden disruption of a deep epigastric vessel may result in an abdominal wall hematoma, which, depending upon its location and size, can produce symptoms and clinical findings compatible with a variety of acute intra-abdominal conditions. The literature has noted a predominance of pregnant patients among those affected with this malady. Such hematomas are infrequently encountered and early accurate diagnosis could prevent surgical intervention. Unfortunately, the clinical manifestations of rectus muscle hematoma are sometimes so dramatic that laparotomy is performed under the belief that intra-abdominal pathology is present. We present a case of a suspected abruptio placenta misdiagnosed by clinical and ultrasound examination that was subsequently discovered to be a rectus sheath hematoma at the time of surgery.- - - - - - - - - - ranking = 5keywords = placenta (Clic here for more details about this article) |