Clinic for Obstetrics and Gynecology, University Hospital Essen, Essen, Germany; Clinic for Gynecology and Obstetrics, Hospital Barmherzige Brüder, St. Hedwig, Regensburg, Germany.
Clinic for Obstetrics and Gynecology, University Hospital Essen, Essen, Germany.
J Vasc Interv Radiol. 2021 Mar;32(3):339-342. doi: 10.1016/j.jvir.2020.12.002.
An abnormally invasive placenta is an increasing and potentially life-threatening pregnancy complication. The case presented herein is a heterotopic dichorial pregnancy with implantation of 1 placenta within the isthmocervical area, which caused vaginal bleeding during the 20th week of pregnancy, requiring a blood transfusion. To stop the bleeding, a bilateral embolization of the cervical branches of the uterine arteries was performed. The embolization was well tolerated and resulted in the abrupt and lasting cessation of bleeding for more than 10 weeks, resulting in the live birth of 1 child.
异常侵袭性胎盘是一种日益增多且可能危及生命的妊娠并发症。本文介绍的病例为异源性双绒毛膜妊娠，1 个胎盘植入子宫峡部和宫颈内口区域，导致妊娠 20 周时阴道出血，需要输血。为了止血，对子宫动脉宫颈分支进行双侧栓塞。栓塞耐受良好，出血迅速且持久停止超过 10 周，成功分娩 1 名活婴。
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