| Title |
Eksagreguota placentos vieta: klinikinis atvejis / |
| Translation of Title |
Exaggerated placental site: a case report. |
| Authors |
Smetonienė, Dovilė ; Volochovič, Jelena |
| DOI |
10.5200/sm-hs.2017.112 |
| Full Text |
|
| Is Part of |
Sveikatos mokslai.. Vilnius : Sveikatos mokslai. 2017, T. 27, nr 6, p. 157-160.. ISSN 1392-6373. eISSN 2335-867X |
| Keywords [eng] |
exaggerated placental site ; intermediate trophoblast ; bleeding during pregnancy |
| Abstract [eng] |
Exaggerated placental site is a rare non-neoplastic trophoblastic lesion in which extravilleous intermediate trophoblastic cells extensively infiltrate into the endometrium and the underlying myometrium. Most often, it is a histological diagnosis made after examination of uterine curettage specimens obtained after first trimester spontaneous or induced abortions. Rarely, the lesion may present as continuous blood spotting or short term active uterine bleeding in pregnancy or postpartum hemorrhage. It is important to differentiate this lesion from other gestational pathology as different trophoblastic lesions require different therapeutic approaches. In a case of exaggerated placental site, no specific treatment or follow-up is necessary. It is not associated with increased risk of persistent gestational trophoblastic disease. We present a rare case of an exaggerated placental site reaction in an 18th week pregnant woman. The woman experienced recurrent life-threatening vaginal bleeding. A decision was made by multidisciplinary team not to continue pregnancy. During operation, morbidly adherent placenta was suspected, thus total abdominal hysterectomy without bilateral salpingo-oophorectomy was performed. The histology revealed exaggerated placental site. |
| Published |
Vilnius : Sveikatos mokslai |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2017 |
