胎盘植入部位的子宫瘢痕破裂表现为一例猝死病例。
Uterine scar rupture at the site of the placenta accreta presenting as a case of sudden death.
作者信息
Akhade Swapnil Prabhakar, Ghormade Pankaj Suresh, Bhengra Ajay, Chavali Krishnadutt, Hussain Nighat
机构信息
All India Institute of Medical Sciences, Department of Forensic Medicine and Toxicology, Raipur, Chhattisgarh, India.
Hazaribagh Medical College, Department of Forensic Medicine and Toxicology, Hazaribagh, Jharkhand, India.
出版信息
Autops Case Rep. 2020 Dec 8;11:e2020226. doi: 10.4322/acr.2020.226. eCollection 2021.
Uterine rupture during pregnancy is a known complication of placenta accreta. This paper presents a case of sudden maternal death in the 27 week of gestation due to a ruptured uterine scar at the site of placenta accreta with a short inter-pregnancy period of 6 months with previous two C-sections. Autopsy findings revealed a massive hemoperitoneum and a thinned out anterolateral uterine wall. Internal examination revealed clotted and fluid blood in the peritoneal cavity with rupture of the anterior uterine wall at the site of the placenta accreta in a healed cesarean section scar. Placenta accreta is a rare complication of pregnancy. However, it is becoming more frequent and a significant risk factor with the increasing rate of C-section.
妊娠期子宫破裂是已知的胎盘植入并发症。本文介绍了一例妊娠27周时产妇突然死亡的病例，原因是胎盘植入部位子宫瘢痕破裂，妊娠间隔短至6个月，既往有两次剖宫产史。尸检结果显示腹腔大量积血，子宫前外侧壁变薄。内部检查发现腹腔内有凝血和积液，剖宫产瘢痕愈合处胎盘植入部位子宫前壁破裂。胎盘植入是一种罕见的妊娠并发症。然而，随着剖宫产率的上升，它正变得越来越常见，且是一个重要的危险因素。
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