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福島県立医科大学学術成果リポジトリ = Fukushima Medical University Repository >
福島医学会 = The Fukushima Society of Medical Science >
Fukushima Journal of Medical Science >
Vol.67 (2021) >
このアイテムの引用には次の識別子を使用してください:
http://ir.fmu.ac.jp/dspace/handle/123456789/1384
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| タイトル: | Unexpected placenta accreta spectrum after the use of assisted reproductive technology in women with adenomyomectomy |
| 著者: | Jin, Toki
Kyozuka, Hyo
Fujimori, Mimori
Nomura, Shinji
Hakozaki, Yusuke
Suzuki, Daisuke
Nomura, Yasuhisa |
| 誌名/書名: | Fukushima Journal of Medical Science |
| 巻: | 67 |
| 号: | 1 |
| 開始ページ: | 45 |
| 終了ページ: | 48 |
| 発行日: | 2021年 |
| 抄録: | Placenta accreta spectrum (PAS) is a rare complication that can lead to life-threatening postpartum hemorrhage. PAS can sometimes occur unexpectedly, without placenta previa;such cases can lead to higher maternal mortality and morbidity than expected cases. Here, the authors report a case of unexpected PAS caused by assisted reproductive technology (ART) in a woman with adenomyosis. The patient was a 37-year-old Japanese primipara woman who presented to our hospital at 11 weeks gestation, later returning to her parents' house to give birth. The woman had adenomyosis and underwent adenomyomectomy, which was followed by an ART pregnancy. The patient was admitted to our hospital because of a life-threatening preterm birth, with a short cervix and no evidence of placenta previa. Despite strict perinatal management, preterm rupture of the membrane (PROM) occurred. During laparotomy, the small intestine, rectum, and both right and left ovaries were clumped together and severely adhered to the surface of the uterus. After delivery, manual partial removal of the placenta was performed, resulting in heavy bleeding from the implantation site, which was diagnosed as an unexpected PAS. Following several uterine compression efforts, we successfully preserved the uterus. |
| 出版者: | The Fukushima Society of Medical Science |
| 出版者（異表記）: | 福島医学会 |
| 本文の言語: | eng |
| このページのURI: | http://ir.fmu.ac.jp/dspace/handle/123456789/1384 |
| 本文URL: | http://ir.fmu.ac.jp/dspace/bitstream/123456789/1384/1/FksmJMedSci_67_p45.pdf |
| ISSN: | 0016-2590
2185-4610 |
| DOI: | 10.5387/fms.2021-02 |
| PubMed番号: | 33731511 |
| 関連ページ: | https://doi.org/10.5387/fms.2021-02 |
| 権利情報: | © 2021 The Fukushima Society of Medical Science. This article is licensed under a Creative Commons [Attribution-NonCommercial-ShareAlike 4.0 International] license. |
| 権利情報: | https://creativecommons.org/licenses/by-nc-sa/4.0/ |
| 出現コレクション: | Vol.67 (2021)
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