Department of Obstetrics and Gynecology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Key Laboratory of Reproductive Dysfunction Management of Zhejiang Province, School of Medicine, Zhejiang University, Hangzhou, China.
Medicine (Baltimore). 2023 Aug 11;102(32):e34525. doi: 10.1097/MD.0000000000034525.
This case report aims to describe the treatment of infected placenta accreta in the uterine horn by transabdominal temporary occlusion of internal iliac arteries.
A 29-year-old female patient had a history of retained placenta for 28 days after labor induction in the second trimester of pregnancy because of fetal malformation.
Placenta accreta in the uterine horn was diagnosed by 3-dimensional ultrasound and magnetic resonance imaging, and the diagnosis was confirmed during the operation.
Laparotomy was performed to remove the placenta and repair the uterine defect after temporary occlusion of both internal iliac arteries.
Body temperature and inflammatory markers were elevated at admission but returned to normal on the second day after surgery. Normal menstruation resumed approximately 1 month postoperatively. Ultrasound examination showed that the shape of the uterine cavity was normal. No postoperative complications were observed.
Temporary occlusion of the internal iliac artery can help effectively manage infected placenta accreta in the uterine horn.
本病例报告旨在描述通过经腹暂时性阻断髂内动脉治疗子宫角部位感染性胎盘植入。
一名 29 岁女性患者因胎儿畸形于妊娠中期引产 28 天后出现胎盘滞留。
三维超声和磁共振成像诊断为子宫角部位胎盘植入，手术中确诊。
行剖腹术，在暂时性阻断双侧髂内动脉后取出胎盘并修复子宫缺陷。
入院时体温和炎症标志物升高，但术后第 2 天恢复正常。术后约 1 个月恢复正常月经。超声检查显示宫腔形态正常。未观察到术后并发症。
暂时性阻断髂内动脉有助于有效处理子宫角部位感染性胎盘植入。
