Placenta Induced Third Trimester Uterine Rupture in an Unscarred Uterus: A Diagnostic Dilemma (Record no. 10233)

MARC details
000 -LEADER
fixed length control field 02288nam a22001937a 4500
003 - CONTROL NUMBER IDENTIFIER
control field PILC
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20240720152932.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 171019b xxu||||| |||| 00| 0 eng d
040 ## - CATALOGING SOURCE
Transcribing agency FEU-NRMF MEDICAL LIBRARY
041 ## - LANGUAGE CODE
Language code of text/sound track or separate title ENGLISH
050 ## - LIBRARY OF CONGRESS CALL NUMBER
Classification number RESOB20160004
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Wanasen, Samantha Quennie D., M.D.
245 ## - TITLE STATEMENT
Title Placenta Induced Third Trimester Uterine Rupture in an Unscarred Uterus: A Diagnostic Dilemma
260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT)
Place of publication, distribution, etc. QUEZON CITY
Name of publisher, distributor, etc. FEU-NRMF
Date of publication, distribution, etc. 2016
300 ## - PHYSICAL DESCRIPTION
Extent NO PAGES
520 ## - SUMMARY, ETC.
Summary, etc. ABSTRACT: Cases of urine rupture induced by a percreta in an unscarred uterus are rare. This is a case of 30 year old, Gravida 2 Para 1 (1001) Pregnancy Uterine 31 Weeks and 2 days age of gestation with persistent generalized abdominal pain found out to have uterine rupture secondary to placenta percreta. This paper aims to discuss the differential diagnoses foe cases of third trimester abdominal pain, the appropriate diagnostic modalities and the best management for such case. Uterine rupture should be considered in the differential diagnosis in all pregnant women who present with acute abdomen even if there are no risk factors. Exploratory laparotomy was done to investigate the cause of the patient's severe abdominal pain on top of intrauterine fetal bradycardia. During the procedure, uterine rupture with massive bleeding was detected; therefore, subtotal abdominal hysterectomy was performed was discharged without any complications. Pathological analysis of the uterine sspecimen revealed placenta percreta to be the cause of the rupture. In conclusion, uterine rupture should be considered in the differential diagnosis in all pregnant women who present with acute abdomen even if there are no risk factors. Several diagnostic modalities such as ultrasonography and MRI can be helpful in the diagnosis but high index of suspicion and clinical judgment are still if higher value and histopathology in the gold standard for making the final diagnosis of Placenta Percreta. The choice between Hysterectomy or conservative therapy is dependent on the severity of the placenta percreta. Conservative management has a 4-fold increase in mortality rate compared with hysterectomy hence in emergency cases hysterectomy is preferred.
521 ## - TARGET AUDIENCE NOTE
Target audience note Research
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme Library of Congress Classification
Koha item type Research
Holdings
Withdrawn status Lost status Source of classification or shelving scheme Damaged status Not for loan Home library Current library Shelving location Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type Public note
    Library of Congress Classification     Far Eastern University - Nicanor Reyes Medical Foundation Far Eastern University - Nicanor Reyes Medical Foundation Research 10/19/2017   OB20160004 R000518 10/19/2017 10/19/2017 Research RC-RC-0013-16