An evident asymmetrical uterus during cesarean delivery

Kakigano, Aiko; Matsuzaki, Shinya; Jitsumori, Mariko; Mimura, Kazuya; Endo, Masayuki; Kimura, Tadashi

doi:10.1002/ccr3.1802

Cited by 3 publications

(4 citation statements)

References 2 publications

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“…To explain more, one premature third trimester pregnancy presented with myometrial infiltrating placenta [ 6 ]. Kakigano et al presented another case report of asymmetrical appearance of the uterus with final diagnosis of interstitial pregnancy with placenta accreta [ 4 ]. Also, there is another report of an interstitial pregnancy with placenta percreta, which led to the birth of a viable fetus [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…It is estimated that it accounts for less than 3% of ectopic pregnancies [ 1 , 2 ]. Although it may remain asymptomatic in the first 14–16 weeks of pregnancy [ 3 ], it is mostly ruptured after the first trimester that leads to massive hemorrhage due to high vascularity [ 4 ]. Considering to this fact, there are few reports of full-term interstitial pregnancies [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…Although it may remain asymptomatic in the first 14–16 weeks of pregnancy [ 3 ], it is mostly ruptured after the first trimester that leads to massive hemorrhage due to high vascularity [ 4 ]. Considering to this fact, there are few reports of full-term interstitial pregnancies [ 4 , 5 ]. Also, there is likelihood of the presence of abnormal placentation in this category of ectopic pregnancy that make this condition more complicated[ 2 , 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…Considering to this fact, there are few reports of full-term interstitial pregnancies [ 4 , 5 ]. Also, there is likelihood of the presence of abnormal placentation in this category of ectopic pregnancy that make this condition more complicated[ 2 , 4 , 5 ]. The rarity of this case report is delivery a full term misdiagnosed interstitial pregnancy complicated by placenta increta.…”

Section: Introductionmentioning

confidence: 99%

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Diagnosis pitfall of interstitial pregnancy: a case report of a term pregnancy with abnormal placentation

Najib

Vafaei

Foroughi

et al. 2021

BMC Pregnancy Childbirth

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Background Interstitial Pregnancy (IP) is a lethal condition due to high risk of sudden onset massive hemorrhage. Such conditions are managed as soon as diagnosed almost in the first trimester. There are a few case reports of IP conditions terminated after the second trimester. Herein, we introduce a term interstitial pregnancy complicated by abnormal placentation. Case presentation In this case report, we introduce a 32-year-old lady, primigravida, with an undiagnosed IP that was in her 38 weeks of gestational with placenta increta. She developed with perforated IP presenting with acute abdomen and internal bleeding at 26 weeks of gestational age. However, with a misdiagnosis impression, she got stable in operation room. Then, the pregnancy continued till 36 weeks of gestational age that was misdiagnosed with cervical cancer in prenatal work-ups. Finally, during elective cesarean section at 38 weeks, an IP with placenta increta (placenta evading from the serosa to the myometrium of the uterus) was observed. The baby was healthy with no obvious anomaly or morbidity. Conclusions Physicians should be aware to detect IP in all trimesters and pay attention to the coexisting complications such as placenta accreta to manage them more accurately.

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Section: Discussionmentioning

confidence: 99%