Tehran University Medical Journal
مجله دانشکده پزشکی، دانشگاه علوم پزشکی تهران
Tehran Univ Med J
Medical Sciences
http://tumj.tums.ac.ir
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1683-1764
1735-7322
10.18869/acadpub.tumj
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1390
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مرگ مادر بهدلیل جفت پرکرتا با تهاجم بهداخل مثانه: گزارش موردی
Maternal death due to placenta percreta with bladder involvement: a case report
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<p style="text-align: justify direction: rtl unicode-bidi: embed" class="MsoNormal"><strong><span style="font-size: 10pt">زمینه و هدف</span></strong><span style="font-size: 10pt">:</span><span style="font-size: 10pt"> </span><span style="font-size: 10pt">چسبندگی غیرطبیعی جفت
از عوارض تهدید کننده حیات بوده و از علل ایجاد آن سزارین میباشد. هدف از ارایه این
گزارش معرفی یک مورد مرگ مادر بهدلیل جفت پرکرتا با تهاجم بهداخل مثانه میباشد. <br></span></p><p style="text-align: justify direction: rtl unicode-bidi: embed" class="MsoNormal"><span style="font-size: 10pt"></span><strong><span style="font-size: 10pt">معرفیبیمار:</span><em><span style="font-size: 10pt"> </span></em></strong><span style="font-size: 10pt">بیمار خانمی 37 ساله
بود که به دلیل شکست در توبکتومی، ناخواسته باردار شد. در هفته 26 و 30 بارداری با
خونریزی شدید از ادرار در بخش اورولوژی بستری و در سونوگرافی جفت سرراهی گزارش
شد. در هفته 34 بهدلیل خونریزی شدید سزارین اورژانس انجام و پس از تولد نوزاد و خونریزی
بسیار شدید، هیسترکتومی و رزکشن قسمتی از مثانه انجام گردید. ضمن عمل بهدلیل خونریزی
فوقالعاده شدید و غیرقابل کنترل پس از چهار ساعت در اتاق عمل فوت کرد. <br></span></p><p style="text-align: justify direction: rtl unicode-bidi: embed" class="MsoNormal"><span style="font-size: 10pt"></span><strong><span style="font-size: 10pt">نتیجهگیری:</span><em><span style="font-size: 10pt"> </span></em></strong><span style="font-size: 10pt">امروزه جفتهای با چسبندگی
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مهم، اجتناب از سزارینهای بدون اندیکاسیون میباشد.</span></p>
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<!--stripped--> <strong>Background</strong><strong>:</strong> Placenta accreta is a life-threatening complication after previous cesarean
delivery. The aim of this case report is to present a case of placenta percreta
with bladder involvement and subsequent maternal death.<br><strong>Case
presentation</strong><strong>:</strong> The patient was a 37-year
old who had an unwanted pregnancy due to tubectomy failure two years afterwards.
She was hospitalized at 26<sup>th</sup> and 30<sup>th</sup> week of gestation
because of gross hematuria. Sonography reported placenta previa. Cesarean section
was performed at 34<sup>th</sup> gestational week. Due to severe hemorrhage, hysterectomy with resection of some
part of the bladder was done. Died at the operating room after four hours of
severe uncontrollable hemorrhage. <br><strong>Conclusion:</strong> The increasing prevalence of different forms of placenta accreta is the result
of the ever-increasing rate of cesarean deliveries. One of the strategies to
prevent this catastrophic obstetric complication is decreasing the number of cesarean
deliveries without appropriate indications.<br></p>
مرگ مادر،جفت پرکرتا،درگیری مثانه
Bladder,maternal mortality,placenta percreta
399
402
http://tumj.tums.ac.ir/browse.php?a_code=A-10-25-228&slc_lang=fa&sid=1
Ayati
S
صدیقه
آیتی