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06.10.2021 | case report

Focal increta placentomegaly of the posterior nonscarred uterine wall and posterior asynclitic presentation

verfasst von: Dubravko Habek, Matija Prka, Tonćika Zovko, Sanja Berić Lerotić, MD, PhD candidate Anis Cerovac

Erschienen in: Wiener Medizinische Wochenschrift

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Summary

Background

Fetal malpresentations and malpositions are more common in placenta previa and uterine cavity abnormalities.

Aim

To show successful management of focal increta placentomegaly and uterine preservation in primiparous woman.

Case report

We describe posterior low-lying focal increta placentomegaly verified during cesarean section, which is a possible risk factor for persistent posterior asynclitism and consequent mechanical dystocia. In addition to antifibrinolytics and uterotonics, hemostatic compression sutures of the posterior uterine wall were performed with an applied intrauterine balloon, and thus the uterus was preserved in primiparous woman as a definitive therapy.

Conclusion

Timely identified malplacentation as well as adequate medical and surgical measures taken by an experienced team of obstetricians and anesthesiologists can contribute to preservation of the uterus and thus the life of mother and neonate.
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Metadaten
Titel
Focal increta placentomegaly of the posterior nonscarred uterine wall and posterior asynclitic presentation
verfasst von
Dubravko Habek
Matija Prka
Tonćika Zovko
Sanja Berić Lerotić
MD, PhD candidate Anis Cerovac
Publikationsdatum
06.10.2021
Verlag
Springer Vienna
Erschienen in
Wiener Medizinische Wochenschrift
Print ISSN: 0043-5341
Elektronische ISSN: 1563-258X
DOI
https://doi.org/10.1007/s10354-021-00888-w