İlçe hastanesine obstetrik acil olarak başvuran tanı konulmamış plasenta previa perkreata: Vaka sunumu ve literatürün gözden geçirilmesi

Öz

Plasenta previa, plasentanın servikal internal os'a yakın olduğu ve insidansının %0,5 olarak bildirildiği plasenta implantasyonu anomalisidir. Plasenta previa’nın en önemli komplikasyonlarından biri plasenta perkreata’nın eşlik etmesidir. Dünyada yapılmaya devam eden primer sezaryen nedeniyle plasenta previa perkreata insidansı artmaktadır. Plasenta previa perkreata tanısı konulan olgularda; maternal ve fetal morbidite ve mortalite çok yüksektir ve çoklu organ yetmezliğine ilerleyebilecek yıkıcı olaylara neden olabilir. Bu araştırma tanı konmamış plasenta previa perkreata durumunda; hazırlıksız ve deneyimsiz yakalanan cerrahların nasıl tepki verdiğini rapor etmeyi amaçlamaktadır. Bu olgu sunumunu; yetersiz hastane koşullarında her genç cerrahın her an karşılaşabileceği tanı konmamış plasenta previa perkreata vakalarında anne ve bebeğin hayatını kurtarmak için bir rehber haline getirmeyi amaçladık.

Anahtar Kelimeler

• Sezaryen Histerektomi,Tanı konulmamış plasenta previa perkreata,Yetersiz hastane koşulları

Undiagnosed placenta previa percreta presenting as an obstetric emergency to the district hospital with inexperienced surgeons: Case report and review of the literature

Abstract

Placenta previa, a placental implantation anomaly where the placenta is located close to the internal os, has an incidence of 0.5%. One of the most important complications of placenta previa is the presence of placenta percreta. Nowadays, the incidence of placenta percreta has increased due to the increase in the number of cesarean sections. Maternal morbidity in such cases comprise massive transfusion, development of disseminated intravascular coagulation, uterine rupture, cystostomy, fistula formation, ureteral stricture, intensive care unit admission, infection, prolonged hospitalization, adult respiratory distress syndrome, renal failure, septicemia and even death. The aim of this research is to report how the inexperienced surgeons who were caught unprepared reacted in the case of undiagnosed placenta previa percreta. We aimed to make this case report a guide to saving the life of mother with placental previa percreta and baby under inadequate hospital conditions. Similar cases may be encountered by every young surgeon at any time.

Keywords

• Cesarean Hysterectomy,Undiagnosed plasenta previa percreata,Inadequate Hospital Conditions

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