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Published byRüdiger Kaufer Modified over 6 years ago
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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.e e9 (May 2009) DOI: /j.fertnstert Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions
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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 , 1957.e e9DOI: ( /j.fertnstert ) Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions
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Figure 2 Preoperative MRI (a) and ultrasound (b1, b2) examinations. Placenta in situ after conservative treatment (2); uterine fundus collection (1). Fertility and Sterility , 1957.e e9DOI: ( /j.fertnstert ) Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions
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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 , 1957.e e9DOI: ( /j.fertnstert ) Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions
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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 , 1957.e e9DOI: ( /j.fertnstert ) Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions
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