Intrauterine balloon failure: unrecognized placenta accreta spectrum disorders
Several studies indicate that intrauterine balloon (IUB) use is less effective for postpartum hemorrhage (PPH) due to placenta accreta spectrum (PAS) disorders than that due to atonic bleeding. IUB failed to achieve hemostasis because the present two cases had normally positioned PAS. Case Report: A...
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| Format: | Article |
| Language: | English |
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IMR Press
2020-06-01
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| Series: | Clinical and Experimental Obstetrics & Gynecology |
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| Online Access: | https://www.imrpress.com/journal/CEOG/47/3/10.31083/j.ceog.2020.03.5239 |
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| author | K. Tamura H. Takahashi S. Uchida M. Ogoyama R. Usui S. Matsubara |
| author_facet | K. Tamura H. Takahashi S. Uchida M. Ogoyama R. Usui S. Matsubara |
| author_sort | K. Tamura |
| collection | DOAJ |
| description | Several studies indicate that intrauterine balloon (IUB) use is less effective for postpartum hemorrhage (PPH) due to placenta accreta spectrum (PAS) disorders than that due to atonic bleeding. IUB failed to achieve hemostasis because the present two cases had normally positioned PAS. Case Report: A 37-year-old woman was transferred due to PPH. She vaginally delivered. The placenta was without macroscopic defect. Atonic bleeding was suspected. An IUB was placed, without achieving hemostasis. Her status deteriorated, necessitating a hysterectomy. The placenta remained, adhering to the uterine body. Histological examination revealed placenta accreta. The second case was a 40-year-old woman that was transferred due to PPH of atonic bleeding after vaginal delivery. The placenta was without macroscopic defect. An IUB was placed, without hemostasis, and was subsequently was removed. Conservative treatment achieved hemostasis. An Ultrasound revealed the placenta in the uterine body. We diagnosed her with clinical PAS. Nonprevia PAS may be present when an IUB fails to achieve hemostasis. |
| format | Article |
| id | doaj-art-9e1a3affa9fb40b782602b54cd7999ae |
| institution | OA Journals |
| issn | 0390-6663 |
| language | English |
| publishDate | 2020-06-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Clinical and Experimental Obstetrics & Gynecology |
| spelling | doaj-art-9e1a3affa9fb40b782602b54cd7999ae2025-08-20T01:59:43ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632020-06-0147340540810.31083/j.ceog.2020.03.5239S0390-6663(20)00274-2Intrauterine balloon failure: unrecognized placenta accreta spectrum disordersK. Tamura0H. Takahashi1S. Uchida2M. Ogoyama3R. Usui4S. Matsubara5Department of Obstetrics and Gynecology, Jichi Medical University, Tochigi, JapanDepartment of Obstetrics and Gynecology, Jichi Medical University, Tochigi, JapanDepartment of Obstetrics and Gynecology, Jichi Medical University, Tochigi, JapanDepartment of Obstetrics and Gynecology, Jichi Medical University, Tochigi, JapanDepartment of Obstetrics and Gynecology, Jichi Medical University, Tochigi, JapanDepartment of Obstetrics and Gynecology, Jichi Medical University, Tochigi, JapanSeveral studies indicate that intrauterine balloon (IUB) use is less effective for postpartum hemorrhage (PPH) due to placenta accreta spectrum (PAS) disorders than that due to atonic bleeding. IUB failed to achieve hemostasis because the present two cases had normally positioned PAS. Case Report: A 37-year-old woman was transferred due to PPH. She vaginally delivered. The placenta was without macroscopic defect. Atonic bleeding was suspected. An IUB was placed, without achieving hemostasis. Her status deteriorated, necessitating a hysterectomy. The placenta remained, adhering to the uterine body. Histological examination revealed placenta accreta. The second case was a 40-year-old woman that was transferred due to PPH of atonic bleeding after vaginal delivery. The placenta was without macroscopic defect. An IUB was placed, without hemostasis, and was subsequently was removed. Conservative treatment achieved hemostasis. An Ultrasound revealed the placenta in the uterine body. We diagnosed her with clinical PAS. Nonprevia PAS may be present when an IUB fails to achieve hemostasis.https://www.imrpress.com/journal/CEOG/47/3/10.31083/j.ceog.2020.03.5239intrauterine balloonhysterectomypostpartum hemorrhageplacenta accreta spectrumtransfusion |
| spellingShingle | K. Tamura H. Takahashi S. Uchida M. Ogoyama R. Usui S. Matsubara Intrauterine balloon failure: unrecognized placenta accreta spectrum disorders Clinical and Experimental Obstetrics & Gynecology intrauterine balloon hysterectomy postpartum hemorrhage placenta accreta spectrum transfusion |
| title | Intrauterine balloon failure: unrecognized placenta accreta spectrum disorders |
| title_full | Intrauterine balloon failure: unrecognized placenta accreta spectrum disorders |
| title_fullStr | Intrauterine balloon failure: unrecognized placenta accreta spectrum disorders |
| title_full_unstemmed | Intrauterine balloon failure: unrecognized placenta accreta spectrum disorders |
| title_short | Intrauterine balloon failure: unrecognized placenta accreta spectrum disorders |
| title_sort | intrauterine balloon failure unrecognized placenta accreta spectrum disorders |
| topic | intrauterine balloon hysterectomy postpartum hemorrhage placenta accreta spectrum transfusion |
| url | https://www.imrpress.com/journal/CEOG/47/3/10.31083/j.ceog.2020.03.5239 |
| work_keys_str_mv | AT ktamura intrauterineballoonfailureunrecognizedplacentaaccretaspectrumdisorders AT htakahashi intrauterineballoonfailureunrecognizedplacentaaccretaspectrumdisorders AT suchida intrauterineballoonfailureunrecognizedplacentaaccretaspectrumdisorders AT mogoyama intrauterineballoonfailureunrecognizedplacentaaccretaspectrumdisorders AT rusui intrauterineballoonfailureunrecognizedplacentaaccretaspectrumdisorders AT smatsubara intrauterineballoonfailureunrecognizedplacentaaccretaspectrumdisorders |