Saleh Nour, Bahabri Amin, Wal Ross Vander
Department of Obstetrics and Gynaecology, Fiona Stanley Hospital, Western Australia, Australia.
Department of Interventional Radiology, Fiona Stanley Hospital, Western Australia, Australia.
Case Rep Womens Health. 2025 Jan 8;45:e00682. doi: 10.1016/j.crwh.2025.e00682. eCollection 2025 Mar.
Subinvolution of the placental site can lead to severe post-partum haemorrhage, though it is a rare cause of the condition. Subinvolution of the placental site is an abnormal persistence of widely dilated uteroplacental spiral arteries in the absence of retained products of conception, and is associated with an increased risk of maternal morbidity and mortality. This report presents a case of an uneventful caesarean section that was followed by multiple presentations of major secondary post-partum haemorrhage, with a subsequent diagnosis of subinvolution of the placental site on histopathology. The patient was eventually treated with uterine artery embolisation after trials of medical and other interventional measures.
胎盘附着部位复旧不全可导致严重的产后出血，尽管这是导致该病症的罕见原因。胎盘附着部位复旧不全是指在没有残留妊娠产物的情况下，广泛扩张的子宫胎盘螺旋动脉异常持续存在，并且与孕产妇发病和死亡风险增加相关。本报告介绍了一例剖宫产术后过程顺利，但随后多次出现严重继发性产后出血的病例，组织病理学检查随后诊断为胎盘附着部位复旧不全。在尝试了药物和其他介入措施后，该患者最终接受了子宫动脉栓塞治疗。
