Blé R Konan, Adjoussou S, Doukoure B, Gallot D, Olou N, Koffi A, Fanny M, Koné M
CHU de Yopougon, Côte d'Ivoire, France.
Gynecol Obstet Fertil. 2011 Jan;39(1):e11-4. doi: 10.1016/j.gyobfe.2010.08.004. Epub 2010 Dec 22.
Placenta accreta is an abnormal adherence of placenta to the uterine wall without interposition of decidua basalis. Placenta percreta is the rarest form but may complicate the pregnancy with acute severe hemorrhage. We report a case of placenta percreta with multiple perforations of an unscarred uterus reaveled by hemoperitoneum at 22 weeks in a 33-years-old gravida 2 para 1. Emergency total hysterectomy was performed. Risk factors, clinical approach and therapeutic managements are discussed.
胎盘植入是指胎盘异常附着于子宫壁，中间无底蜕膜相隔。穿透性胎盘植入是最罕见的一种类型，但可能使妊娠并发急性严重出血。我们报告一例33岁、孕2产1的孕妇，在孕22周时因腹腔积血发现未瘢痕化子宫发生多处穿孔的穿透性胎盘植入病例。患者接受了急诊全子宫切除术。文中讨论了相关危险因素、临床处理方法及治疗措施。
