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Focal increta placentomegaly of the posterior nonscarred uterine wall and posterior asynclitic presentation

Fokale Placenta increta und Plazentomegalie im Bereich der posterioren unvernarbten Uteruswand und posteriore asynklitische Einstellung

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Summary

Background

Fetal malpresentations and malpositions are more common in placenta previa and uterine cavity abnormalities.

Aim

To show successful management of focal increta placentomegaly and uterine preservation in primiparous woman.

Case report

We describe posterior low-lying focal increta placentomegaly verified during cesarean section, which is a possible risk factor for persistent posterior asynclitism and consequent mechanical dystocia. In addition to antifibrinolytics and uterotonics, hemostatic compression sutures of the posterior uterine wall were performed with an applied intrauterine balloon, and thus the uterus was preserved in primiparous woman as a definitive therapy.

Conclusion

Timely identified malplacentation as well as adequate medical and surgical measures taken by an experienced team of obstetricians and anesthesiologists can contribute to preservation of the uterus and thus the life of mother and neonate.

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Author information

Authors and Affiliations

  1. University Department of Gynecology and Obstetrics Clinical Hospital “Sveti Duh”, Zagreb, School of Medicine, Catholic University of Croatia, Zagreb, Croatia

    Dubravko Habek, Matija Prka, Tonćika Zovko & Sanja Berić Lerotić

  2. Department of Gynecology and Obstetrics, General Hospital Tešanj, Braće Pobrić 17, 74260, Tešanj, Bosnia and Herzegovina

    Anis Cerovac MD, PhD candidate

  3. Department of Anatomy, School of Medicine, University of Tuzla, Tuzla, Bosnia and Herzegovina

    Anis Cerovac MD, PhD candidate

Authors
  1. Dubravko Habek
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  2. Matija Prka
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  3. Tonćika Zovko
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  4. Sanja Berić Lerotić
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  5. Anis Cerovac MD, PhD candidate
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Contributions

Dubravko Habek wrote the main manuscript, critically reviewed the manuscript, participated in the treatment of patients from the case report. Matija Prka, Tonćika Zovko, and Sanja Berić Lerotić critically reviewed the manuscript, gave some suggestions for improvements of the paper and wrote some additions, and participated in the treatment of patients from the case report. Anis Cerovac critically reviewed the manuscript and gave some suggestions for improvements of the paper, and is corresponding author. All authors have met the criteria of authorship and have rights on intellectual content

Corresponding author

Correspondence to Anis Cerovac MD, PhD candidate.

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Conflict of interest

D. Habek, M. Prka, T. Zovko, S.B. Lerotić, and A. Cerovac declare that they have no competing interests.

Ethical standards

For this article no studies with human participants or animals were performed by any of the authors. All studies performed were in accordance with the ethical standards indicated in each case. For images or other information within the manuscript which identify patients, consent was obtained from them and/or their legal guardians. The required permission of the ethics committee has been obtained.

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Habek, D., Prka, M., Zovko, T. et al. Focal increta placentomegaly of the posterior nonscarred uterine wall and posterior asynclitic presentation. Wien Med Wochenschr 173, 78–80 (2023). https://doi.org/10.1007/s10354-021-00888-w

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  • DOI: https://doi.org/10.1007/s10354-021-00888-w

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