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孕早期流产后胎盘植入残留表现为子宫肿物。

Retained placenta accreta after a first-trimester abortion manifesting as an uterine mass.

作者信息

Lim Soyi, Ha Seung-Yeon, Lee Kwang-Beom, Lee Ji-Sung

机构信息

Department of Obstetrics and Gynecology, Gil Medical School, Gachon University of Medicine and Science, Incheon, Korea.

出版信息

Obstet Gynecol Sci. 2013 May;56(3):205-7. doi: 10.5468/ogs.2013.56.3.205. Epub 2013 May 16.

DOI:10.5468/ogs.2013.56.3.205
PMID:24328004
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3784114/
Abstract

Placenta accreta during the first trimester of pregnancy is rare. Only a few cases of placenta accreta manifesting as a uterine mass have been published. Most patients with placenta accreta present with vaginal bleeding during or after pregnancy. This report describes a patient with placenta accreta that caused vaginal bleeding three years after a first trimester abortion. The patient had regular menstruation for three years after the abortion. Initially endometrial cancer or a uterine myoma with degeneration was suspected. This is the first report of a placenta accreta detected as a uterine mass long after a first trimester abortion with delayed vaginal bleeding.

摘要

妊娠早期胎盘植入罕见。仅有少数胎盘植入表现为子宫肿块的病例被报道。大多数胎盘植入患者在孕期或产后出现阴道出血。本报告描述了一名在孕早期流产三年后因胎盘植入导致阴道出血的患者。该患者流产后月经规律三年。最初怀疑为子宫内膜癌或变性的子宫肌瘤。这是首例关于在孕早期流产后很长时间才被检测出子宫肿块且伴有延迟性阴道出血的胎盘植入病例报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47a4/3784114/fc272915f586/ogs-56-205-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47a4/3784114/f34948730abe/ogs-56-205-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47a4/3784114/fc272915f586/ogs-56-205-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47a4/3784114/f34948730abe/ogs-56-205-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47a4/3784114/fc272915f586/ogs-56-205-g002.jpg

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Postpartum Treatment of a Herniation of the Anterior Uterine Wall due to Remains of Placenta Increta.胎盘植入残留所致子宫前壁疝的产后治疗

本文引用的文献

1
Placenta increta after first-trimester dilatation and curettage manifesting as an unusual uterine mass: magnetic resonance findings.
Acta Radiol. 2007 Oct;48(8):938-40. doi: 10.1080/02841850701459775.
2
A case of placenta increta presenting in the first trimester.一例妊娠早期出现的胎盘植入病例。
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Retained Placenta Accreta Mimicking Choriocarcinoma.酷似绒毛膜癌的胎盘植入残留
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Placenta increta as an important cause of uterine mass after first-trimester Curettage (case report).胎盘植入是孕早期刮宫术后子宫肿物的重要原因（病例报告）。
Adv Biomed Res. 2014 Nov 29;3:240. doi: 10.4103/2277-9175.145745. eCollection 2014.
Obstet Gynecol. 2004 Sep;104(3):531-6. doi: 10.1097/01.AOG.0000136086.78099.0f.
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Placenta percreta in early gestation.早期妊娠时的胎盘植入穿透性胎盘。
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Placenta accreta, increta, and percreta. A survey of 40 cases.胎盘植入、穿透性胎盘植入和完全性穿透性胎盘植入。40例病例的调查。
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