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Federación Mexicana de Ginecología y Obstetricia, A.C.

2018, Number 12

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Ginecol Obstet Mex 2018; 86 (12)

Uterine rupture and trophoblastic invasion to the bladder. A case report

Villagómez-Mendoza EA, Gómez-Fernández A, Orozco-Gutiérrez I

Language: Spanish
References: 21
Page: 841-849
PDF size: 287.12 Kb.


ABSTRACT

Background: The Uterine rupture by placenta percreta is an extremely rare complication between the 0.02-0.08% frequency, the concomitant incidence of placental to bladder invasion occurs in approximately 1 in every 10,000 births, and when this occurs maternal and fetal mortality increases by 9.5% and 24% respectively.
Clinic case: A 27 years-old patient, with 26 weeks of gestation (SDG), antecedent of a caesarean, who goes to the emergency department for sudden abdominal pain, compatible with acute abdomen and hemodynamic deterioration, abdominal ultrasound was performed reporting free liquid in cavity, enters the operating room for exploratory laparotomy, finding uterine rupture with presence of trophoblastic invasion to bladder, 2500cc of hemoperitoneum, cesarean section hysterectomy, clamping of uterine arteries via abdominal and ligation of hypogastric arteries, by bladder trophoblastic invasion, during dissection the bladder was injured; a newborn with a weight of 850gr, size 32cm, Ballard 27SDG, APGAR 7/8, total blood loss 3500cc, course 5 days in the Intensive Care Unit (ICU) and 12 days of hospital stay was obtained, the patient progressed favorably , it is graduated with reference to gynecological urology.
Conclusions: Knowledge of this type of diagnostic entities is fundamental, given its rarity and transcendence, the intentional search for risk factors, clinical signs such as vaginal bleeding or hematuria, make timely detection the goal to achieve success in the treatment.


REFERENCES

  1. Nicolás-Perea I, et al. Rotura uterina por percretismo placentario a las 17 semanas de gestación. Prog Obstet Ginecol 2015;46(5):193-231. DOI: http://dx.doi.org/10.1016/j. pog.2015.04.016

  2. Smith ZL, et al. Placenta percreta with invasion into the urinary bladder. Urol Case Rep 2014; 2(1): 31-32. DOI: 10.1016/j.eucr.2013.11.010

  3. Airam AG, et al. Rotura uterina espontanea en embarazo de segundo trimestre: presentación de un caso y revisión de la literatura. Avan Biomed 2013;2(3):158-161. http://erevistas. saber.ula.ve/index.php/biomedicina/article/view/4532

  4. Lago LV, et al. Rotura uterina espontanea durante el segundo trimestre asociado a placenta percreta. Caso clínico y revisión de la literatura. Prog Obstet Ginecol 2014;57(9):422- 428. http://dx.doi.org/10.1016/j.pog.2014.05.008

  5. Ching HC, et al. Uterine rupture secondary to placenta percreta in a near term pregnant woman with a history of hysterotomy. J Obstet Gynecol Res 2011;37(1): 71-74. DOI:10.1111/j.1447-0756.2010.01305.x

  6. Briceño PC, et al. Placenta percreta con ruptura uterina espontanea temprana. Rev Obstet Ginecol Venez 2002; 62:273-277.

  7. Dong GJ, et al. Placenta percreta-induced uterine rupture diagnosed by laparoscopy in the first trimester. Int J Med Sci 2011;8(5):424-427.

  8. Ramírez A, et al. Rotura uterina en la semana 19 de gestación por placenta percreta. Rev Med Panacea 2013;3(3):89-92.

  9. Martínez G, et al. Rotura uterina espontánea: reporte de dos casos. Cir Cir 2012;80(1):81-85. http://www.redalyc. org/html/3313/331329479007/

  10. Allen L, et al. FIGO consensus guidelines on placenta accreta spectrum disorders: Noncoservative surgical management. Int J Gynecol Obstet 2018;140:281-290. DOI:10.1002/ijgo.12409

  11. Palacios-Jaraquemada J. Caesarean section in cases of placenta praevia and accrete. Best Practice and Research Clinical Obstetrics and Gynaecology 2017;27:221-232. DOI: http://dx.doi.org/10.1016/j.bpobgyn.2012.10.003

  12. Resnik R, Silver R. Placenta accreta spectrum. N Eng J Med 2018;378(16):1529-1536. DOI: 10.1056/NEJMcp1709324

  13. Committee Opinion, ACOG, Placenta Accreta, Number 529 July 2012, Reaffirmed 2017. https://www.acog.org/-/ media/Committee-Opinions/Committee-on-Obstetric- Practice/co529.pdf?dmc=1

  14. Hasbun SH, et al. Percretismo placentario: Manejo con oclusión de arterias iliacas internas embolización de arterias uterinas y oclusión de arterias iliacas comunes. Rev Chil Obstet Ginecol 2014;79(6):524-530. DOI: http://dx.doi. org/10.4067/S0717-75262014000600011

  15. Torrez MF, et al. Percretismo placentario con invasión a vejiga y recto. Cir y Cir 2017;85(1):66-69. DOI: http://dx.doi. org/10.1016/j.circir.2015.08.011

  16. Fidias NM, et al. Acretismo placentario, un problema en aumento. El diagnóstico oportuno como éxito del tratamiento. Ginecol Obstet Mex 2013;81:99-104.

  17. Bustos P, et al. Ruptura uterina espontánea por placenta percreta. Rev Chil Obstet Ginecol 2003;68(6):519-522. DOI: http://dx.doi.org/10.4067/S0717-75262003000600012

  18. Aguilar HO, et al. Rotura uterina por acretismo placentario. Ginecol Obstet Mex 2010;78(4):250-253.

  19. Karchmer S, et al. Acretismo placentario. Diagnóstico prenatal. Rev Latin Perinatol 2016;19(4);(260). http://www. revperinatologia.com/images/10_Acretismo_placentarioilovepdf- compressed.pdf

  20. Hernandez OH, et al. Acretismo placentario con placenta previa. Reporte de un caso. Caso clínico. Ginecol Obstet Mex 2014;82:552-557.

  21. Silber SJ, et al. Placenta percreta invading bladder. J Urol1973;109(4):615-618.




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