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Retaliation of Placenta after Uterine Trauma Placenta Report Increta: Case Report

By: Language: English Producer: 2015Content type:
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LOC classification:
  • RES OB 2015 0001
Dissertation note: Medicine Research project Summary: Obstetrical complications as hemorrhage may ensue once the placenta adhere into the myometrium and was not noted during placental delivery. The objective of this report is to present the case of a 30-year-old, Gravida 3 para 1 (1021) who had persistent vaginal bleeding post dilatation and curettage due to missed abortion at 11 weeks gestational age. Measurement of serum beta human chorionioc gonadotrophic hormone, transvaginal ultrasound and pelvic MRI with contrast were done leading to a possible retained product of conception, gestational trophoblastic neoplasia, uterine arteriovenous malformation, and placenta increta. She underwent Exploratory Laparotomy followed by Total Abdominal Hysterectomy under General Endotracheal Anesthesia. In the current generation, wide array of diagnostic work-ups can be used to make an appropriate diagnosis. And with correct management, correct management can be given. With the case, we were faced with a patient with financial constraints. But what is more strucking is that our final histopathology is different with our final diagnosis. The case was an eye opener for the service team. After encountering the case, the moral lesson of which is to correlate our diagnostic tests made with the patient. We must never forget to take into consideration the basic and the most common.
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Research Far Eastern University - Nicanor Reyes Medical Foundation Research OB2015001 (Browse shelf(Opens below)) Available R000467
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OB20150005 The Prevalence of Polycystic Ovarian Syndrome Phenotypes and its Association to Infertility, Metabolic and Cardiovascular Risk A Review of Cases from January 2010 t0 October 2014 in An Outpatient Clinic of A Tertiary Institution in Quezon City OB20150006 Accuracy of Vaginal Fluid Ferning Test using Ovulation Predictor Test in the Detection of Membrane Rupture among Pregnant Women Admitted at a Tertiary Medical Center : A Preliminary Report OB20150007 A Randomized Controlled Trial Comparing the Effects of Immediate Versus Delayed Pushing During the Second Stage of Labor in Primigravidas without Epidural Anesthesia on the Duration of Active Pushing, Second Stage of Labor, Maternal Fatigue, and Rate of Caesarean Section OB2015001 Retaliation of Placenta after Uterine Trauma Placenta Report Increta: Case Report OB20160001 COMPARISON OF THE OPERATIVE AND POST OPERATIVE OUTCOME BETWEEN EPISIORRHAPHY WITH AND WITHOUT APPLICATION OF POLICRESULEN SOLUTION OB20160002 A Comparison of the Efficacy of Single Dose Fosfomycin Trometamol versus a Five-Day Nitrofurantoin Regimen in the Treatment of Urinary Tract Infection among Pregnant Patients at a Tertiary Medical Center: A Single Blind Randomized Controlled Trial OB20160003 Heterotopic Pregnancy in Natural Conception

Medicine Research project

Obstetrical complications as hemorrhage may ensue once the placenta adhere into the myometrium and was not noted during placental delivery. The objective of this report is to present the case of a 30-year-old, Gravida 3 para 1 (1021) who had persistent vaginal bleeding post dilatation and curettage due to missed abortion at 11 weeks gestational age. Measurement of serum beta human chorionioc gonadotrophic hormone, transvaginal ultrasound and pelvic MRI with contrast were done leading to a possible retained product of conception, gestational trophoblastic neoplasia, uterine arteriovenous malformation, and placenta increta. She underwent Exploratory Laparotomy followed by Total Abdominal Hysterectomy under General Endotracheal Anesthesia. In the current generation, wide array of diagnostic work-ups can be used to make an appropriate diagnosis. And with correct management, correct management can be given. With the case, we were faced with a patient with financial constraints. But what is more strucking is that our final histopathology is different with our final diagnosis. The case was an eye opener for the service team. After encountering the case, the moral lesson of which is to correlate our diagnostic tests made with the patient. We must never forget to take into consideration the basic and the most common.

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