Baucom Amanda, Herzog Thomas, Jackson Amanda, Wahab Shaun A, Billingsley Caroline
University of Cincinnati, 234 Albert Sabin Way, Cincinnati, OH 45267, United States.
University of Cincinnati, 234 Goodman Street, Cincinnati, OH 45219, United States.
Gynecol Oncol Rep. 2021 Jun 1;37:100800. doi: 10.1016/j.gore.2021.100800. eCollection 2021 Aug.
Prior pelvic radiation increases risks of pregnancy complications that can be life threatening. No documented pregnancy has successfully occurred with pelvic radiation dosing of >45 Gy. This case report describes a successful conception after receiving 54 Gy with subsequent severe pregnancy complications.Case34 yo G4P2012 with a history of pelvic radiation who presented with painless vaginal bleeding at 12w6d gestation resulting from a donor egg embryo transfer. She was subsequently diagnosed with a subchorionic hemorrhage, complete placenta previa, and placenta increta leading to a gravid hysterectomy at 23w0d due to concern for hemodynamic instability.
History of pelvic radiation increases risk of severe life-threatening pregnancy complications. This case report details the complications that can arise to provide assistance for counseling and management for future providers.
既往盆腔放疗会增加危及生命的妊娠并发症风险。尚无盆腔放疗剂量>45 Gy后成功妊娠的记录。本病例报告描述了在接受54 Gy放疗后成功受孕，随后出现严重妊娠并发症的情况。病例：一名34岁、孕4产2（0-1-2-0）的女性，有盆腔放疗史，在接受供体卵胚胎移植妊娠12周6天时出现无痛性阴道出血。随后她被诊断为绒毛膜下出血、完全性前置胎盘和胎盘植入，因担心血流动力学不稳定，在妊娠23周0天时行妊娠子宫切除术。
盆腔放疗史会增加严重危及生命的妊娠并发症风险。本病例报告详细介绍了可能出现的并发症，为未来医护人员的咨询和管理提供帮助。
