A Rare Case of Retained Placenta in Uterine Sacculation

Khan, Shakeb A.; Misra, Akanksha

doi:10.15373/22778160/apr2014/55

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“…9,11 Previous published cases of uterine sacculation with entrapped placenta have been managed with immediate hysterotomy and manual placenta removal. [4][5][6][7] Proceeding with laparotomy and hysterotomy in these circumstances may avoid late hemorrhagic 5 or infection complications (case 2). However, operating on the immediately postgravid uterus also carries a risk of hemorrhage and, in some cases, hysterectomy.…”

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confidence: 99%

“…Treatment options that have been proposed include expectant management, methotrexate, uterine artery embolization, dilation and curettage, and hysterotomy. [4][5][6][7] Here we report two cases of uterine sacculation with entrapped placenta within the uterine fundus diagnosed immediately postpartum. One patient was treated with immediate hysterotomy, and the other was managed expectantly but ultimately required hysterotomy.…”

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confidence: 99%

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Uterine Sacculation With Entrapped Placenta After Delivery

Solotke,

Boyles,

Rood

et al. 2024

Obstetrics &Amp; Gynecology

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BACKGROUND: Uterine sacculation refers to a temporary pouch or sac within the uterus that may contain the placenta or fetal parts and that may be diagnosed antepartum or after delivery. There is very limited published information about this rare condition and its management. CASES: We report two cases of uterine sacculation with entrapped placenta diagnosed immediately postpartum, managed with two different approaches. In one case, the patient underwent immediate laparotomy and placental extraction. In the second case, the patient was managed conservatively but ultimately developed signs of infection and underwent laparotomy. CONCLUSION: Uterine sacculation with entrapped placenta is a rare condition that is a potential etiology of retained placenta. Obstetric clinicians should be aware of this diagnosis and the management strategies available.

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