Uterine conservation despite severe sepsis in a case of placenta accreta first treated conservatively: 3-month delayed successful removal of the placenta

Slides:

Advertisements

Similar presentations

What’s the delay? A qualitative study of women’s experiences of reaching a diagnosis of endometriosis Karen Ballard, Ph.D., Karen Lowton, Ph.D., Jeremy.

Advertisements

Development of Asherman syndrome after conservative surgical management of intractable postpartum hemorrhage Ciaran A. Goojha, M.D., Allison Case, M.D.,

Complete septate uterus with longitudinal vaginal septum

Soyoung Bae, M.D., Joseph Karnitis, M.D. Fertility and Sterility

Successful use of magnetic resonance–guided focused ultrasound surgery to relieve symptoms in a patient with symptomatic focal adenomyosis Sang-Wook.

Local injury to the endometrium in controlled ovarian hyperstimulation cycles improves implantation rates Liang Zhou, M.D., Rong Li, M.D., Ph.D., Rong.

Gynecological and obstetrical outcomes after laparoscopic repair of a cesarean scar defect in a series of 38 women Olivier Donnez, M.D., Ph.D., Jacques.

Infertility evaluation and treatment among women in the United States

One patient, two uteri, two endometrial ablations: case report of thermal balloon ablation in uterine didelphys Hector O. Chapa, M.D., Gonzalo Venegas,

Fernando Zegers-Hochschild, M.D. Fertility and Sterility

Michael M. Alper, M.D. Fertility and Sterility

Conservative management of cervical ectopic pregnancy

Isabel Cerveira, M. D. , Cristina Costa, M. D. , Fernando Santos, M. D

Reconstructive surgical management of cryptomenorrhea because of complex uterovaginal malformations with duplicate uterus and complete vaginal agenesis

Medical treatment of ectopic pregnancy: a committee opinion

Live birth of twins derived from zona-free oocytes

Aberrant implantation and growth of uterine leiomyoma in the abdominal wall after laparoscopically assisted myomectomy Osamu Wada-Hiraike, M.D., Ph.D.,

Elizabeth Taylor, M.D., Christina Williams, M.D.

Transurethral partial cystectomy and laparoscopic reconstruction for the management of bladder endometriosis See-Tong Pang, M.D., Ph.D., Angel Chao,

Florid endometriosis in a postmenopausal woman

Oocyte cryopreservation

Conservative surgical management for diffuse uterine adenomyosis

Two interesting cases of ovarian pregnancy after in vitro fertilization–embryo transfer and its successful laparoscopic management Selvaraj Priya, M.D.,

Leiomyoma on the septum of a septate uterus with double cervix and vaginal septum: a challenge to manage Eray Caliskan, M.D., Yiğit Cakiroglu, M.D.,

Transvaginal versus transabdominal ultrasound guidance for embryo transfer in donor oocyte recipients: a randomized clinical trial Daniel Bodri, M.D.,

Invasion process of induced deep nodular endometriosis in an experimental baboon model: similarities with collective cell migration? Olivier Donnez,

Dana B. McQueen, M. D. , M. A. S. , Candice O. Perfetto, M. D

Nicolas Bourdel, M. D. , Toby Collins, Ph. D. , Daniel Pizarro, Ph. D

Uterine adenomyoma presenting as a vesico-uterine endometrioma

Gadolinium radiologic contrast is a useful alternative for hysterosalpingography in patients with iodine allergy Dorette Noorhasan, M.D., Michael J.

Jhansi Reddy, M.D., Marc R. Laufer, M.D. Fertility and Sterility

Heterotopic cervical pregnancy treated with transvaginal ultrasound-guided aspiration resulting in cervical site varices within the myometrium Anish.

Cervical fragmentation: a successful end-to-end anastomosis

Andrea Tinelli, M.D., Raffaele Tinelli, M.D., Antonio Malvasi, M.D.

Management of tubal ectopic pregnancy: methotrexate and salpingostomy are preferred to preserve fertility Stephanie Beall, M.D., Ph.D., Alan H. DeCherney,

Progression of conservatively treated endometrial complex atypical hyperplasia in a young woman: a case report Giacomo Corrado, M.D., Ph.D., Ermelinda.

Successful twin pregnancy in a patient with complete uterine septum corrected during cesarean section Ariel Weissman, M.D., Ido Eldar, M.D., Gustavo.

Severe intra-abdominal bleeding from neglected omental implantation of ectopic tissue after methotrexate treatment for persistent ectopic pregnancy Mei-Chu.

Esther V. A. Bouwsma, M. D. , Krzysztof R. Gorny, Ph. D. , Gina K

Akanksha Mehta, M.D., Darius A. Paduch, M.D., Ph.D.

Cotyledonoid dissecting leiomyoma of the uterus

Unusual complication after uterine artery embolization and laparoscopic myomectomy in a woman wishing to preserve future fertility Olivier Donnez, M.D.,

Conservative management of nontubal ectopic pregnancies

Interstitial pregnancy

Francesco Plotti, M. D. , Alessandra Di Giovanni, M. D

Multiple extrauterine adenomyomas and uterus-like masses: case reports and review of the literature Silvestro Carinelli, M.D., Francesca Motta, M.D.,

Postoperative digestive function after radical versus conservative surgical philosophy for deep endometriosis infiltrating the rectum Horace Roman, M.D.,

Conservative management of a near-term cervico-isthmic pregnancy, followed by a successful subsequent pregnancy: a case report Gilles Kayem, M.D., Ph.D.,

Development of Asherman syndrome after conservative surgical management of intractable postpartum hemorrhage Ciaran A. Goojha, M.D., Allison Case, M.D.,

Pregnancy outcome in infertile patients with polycystic ovary syndrome who were treated with metformin Samuel S. Thatcher, M.D., Ph.D., Elizabeth M.

María A. Higón, M. D. , Santiago Domingo, M. D. , Celia Bauset, M. D

Fertility and Sterility: an evaluation

Successful treatment of unresponsive thin endometrium

Sedigheh Borna, M.D., Azita Nasery, M.D. Fertility and Sterility

Counteraction during movement of spermatozoa by Trichomonas vaginalis observed by visual image analysis: a possible cause of female infertility Viroj.

Rachana V. Garde, M. D. , Vuk P. Jovanovic, M. D. , Grace M

Absence of endometrium as a cause of primary amenorrhea

Genetic evaluation procedures at sperm banks in the United States

David H. Barad, M.D., M.S., Norbert Gleicher, M.D.

So-Yeon Kang, M. D. , Byung-Joon Park, M. D. , Yong-Wook Kim, M. D

In vitro sildenafil citrate use as a sperm motility stimulant

Treatment of heterotopic cervical pregnancy after in vitro fertilization–embryo transfer by using transvaginal ultrasound–guided aspiration and instillation.

What’s the delay? A qualitative study of women’s experiences of reaching a diagnosis of endometriosis Karen Ballard, Ph.D., Karen Lowton, Ph.D., Jeremy.

Cervical pregnancy Fertility and Sterility

Enver Simsek, M. D. , Ismail Ozdemir, M. D. , Lin Lin, M. D. , John C

Endometrial polyps affect uterine receptivity

Dalmo Borges Ramos, M. D. , Newton Eduardo Busso, Ph. D

Lauren F. Damle, M. D. , Veronica Gomez-Lobo, M. D. , Amy R. Andrus, M

Decreasing bleeding due to uterine fibroid with electroacupuncture

Rudimentary uterine horn pregnancy: a mystery diagnosis

Presentation transcript:

Uterine conservation despite severe sepsis in a case of placenta accreta first treated conservatively: 3-month delayed successful removal of the placenta Olivier Morel, M.D., Patrice Desfeux, M.D., Yann Fargeaudou, M.D., Cécile Malartic, M.D., Mathias Rossignol, M.D., Chantal Perrotez, Emmanuel Barranger, M.D., Ph.D. Fertility and Sterility Volume 91, Issue 5, Pages 1957.e5-1957.e9 (May 2009) DOI: 10.1016/j.fertnstert.2009.01.065 Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions

Figure 1 Antenatal and preoperative diagnosis of placenta accreta. (A–C) Prenatal imaging of the placenta by transabdominal ultrasound. (1) Bladder; (2) placenta; (3) placental lacunae; (4) myometrium thickness; (5) tornado-shaped sinus. (D) Surgical view after initial conservative treatment. (1) hysterotomy (uterine fundus); (2) placenta accreta left in situ. Fertility and Sterility 2009 91, 1957.e5-1957.e9DOI: (10.1016/j.fertnstert.2009.01.065) Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions

Figure 2 Preoperative MRI (a) and ultrasound (b1, b2) examinations. Placenta in situ after conservative treatment (2); uterine fundus collection (1). Fertility and Sterility 2009 91, 1957.e5-1957.e9DOI: (10.1016/j.fertnstert.2009.01.065) Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions

Figure 3 Successful extirpation 3 months after primary conservative treatment for placenta accreta; surgical views. (a–b) Uterus (a1) and uterine fundus collection (a2): (b) surgical dissection. (c) In situ placenta manual dissection and extirpation (→). (d) Residual placenta accreta macroscopic fresh view. (e) Uterine fundus suture. Fertility and Sterility 2009 91, 1957.e5-1957.e9DOI: (10.1016/j.fertnstert.2009.01.065) Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions

Figure 4 Histopathologic examination of the residual placenta. (A) Hematoxylin and eosin stained ×10. (B) ×20. Residual placenta: necrosis and ischemia are observed (1) in association with several calcifications (2). No inflammatory reaction. Fertility and Sterility 2009 91, 1957.e5-1957.e9DOI: (10.1016/j.fertnstert.2009.01.065) Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions