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Title: | Intra-abdominal hemorrhage induced by medical abortion in mid-trimester pregnancy: An unusual presentation of placenta percreta |
Authors: | Laosooksathit W. Trongwongsa T. Narkwichean A. |
Keywords: | fresh frozen plasma thrombocyte concentrate abdominal bleeding abdominal hysterectomy abdominal pain abdominal tenderness adult Article bladder metastasis case report cesarean section clinical article echography female heart sound human hysterectomy hysterotomy intensive care unit laparotomy microscopy operative blood loss placenta accreta second trimester pregnancy socioeconomics vagina bleeding |
Issue Date: | 2017 |
Abstract: | We present a case report of 36-year-old pregnant with intra-abdominal hemorrhage caused by placenta percreta without uterine rupture after medication-induced abortion. Ultrasonography revealed 20-week gestation pregnancy with anterior placenta previa and evidences of the placenta adherens. Surgical exploration was performed twice. The first operation was emergency abdominal exploration. In the second operation, a hysterotomy followed by total abdominal hysterectomy was performed. Massive blood transfusion was required due to 10,000 ml intra-operative blood loss. A review of diagnosis and management of the placenta adherens is also discussed in this report. © 2017 Medical Association of Thailand. All rights reserved. |
URI: | https://ir.swu.ac.th/jspui/handle/123456789/13182 https://www.scopus.com/inward/record.uri?eid=2-s2.0-85075003447&partnerID=40&md5=7ae96694ae730e90db7a800a7cefc23e |
ISSN: | 1252208 |
Appears in Collections: | Scopus 1983-2021 |
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