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A planned caesarean hysterectomy for placenta accreta spectrum at 35 weeks of gestation: antenatal identification and a multidisciplinary approach to manage an increasing condition
Ist Teil von
The Lancet (British edition), 2023-03, Vol.401 (10379), p.856-857
Ort / Verlag
England: Elsevier Ltd
Erscheinungsjahr
2023
Link zum Volltext
Quelle
MEDLINE
Beschreibungen/Notizen
Laboratory investigations showed a preoperative haemoglobin concentration of 130 g/L (typical range 120–160); the platelet count, clotting screen, and renal function were within typical range. Gross morphology of the formalin-fixed excised uterus showed the placenta covering the cervix and an extremely thin myometrium anteriorly (figure); the site of the rupture was found with placental tissue visible through the defect. Loss of a typical placental contour, deep infiltrating trophoblast cells, and remodelling of deep uterine blood vessels were noted in additional sections—confirming morbid adherence of the placenta to the uterus.