Interstitial Pregnancy in the Third Trimester with Severe Preeclampsia: A Case Report and Literature Review
An interstitial pregnancy that continues beyond the second trimester is a rare phenomenon. We report a patient with an interstitial pregnancy undiagnosed until the third trimester. A multiparous woman was referred to us because of preeclampsia at 26 weeks of gestation. The placental position was the...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2020/9408501 |
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| author | Shiho Nagayama Hironori Takahashi Shohei Tozawa Risa Narumi Rie Usui Akihide Ohkuchi Shigeki Matsubara |
| author_facet | Shiho Nagayama Hironori Takahashi Shohei Tozawa Risa Narumi Rie Usui Akihide Ohkuchi Shigeki Matsubara |
| author_sort | Shiho Nagayama |
| collection | DOAJ |
| description | An interstitial pregnancy that continues beyond the second trimester is a rare phenomenon. We report a patient with an interstitial pregnancy undiagnosed until the third trimester. A multiparous woman was referred to us because of preeclampsia at 26 weeks of gestation. The placental position was the right fundus, and color Doppler ultrasound revealed myometrial thinning and subplacental hypervascularity, leading to a suspicion of placenta accreta spectrum (PAS). Emergency cesarean section was performed at 281/7 weeks of gestation due to severe preeclampsia. The right tubal horn to the isthmus of the fallopian tube bulged with placental adhesion and a part of the tube had ruptured, with the omentum adhering to the ruptured part. Interstitial and tubal isthmic pregnancy with uterine rupture was diagnosed. |
| format | Article |
| id | doaj-art-da814da99d354513a42c5bbf167d7d4f |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-da814da99d354513a42c5bbf167d7d4f2025-08-20T03:24:26ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922020-01-01202010.1155/2020/94085019408501Interstitial Pregnancy in the Third Trimester with Severe Preeclampsia: A Case Report and Literature ReviewShiho Nagayama0Hironori Takahashi1Shohei Tozawa2Risa Narumi3Rie Usui4Akihide Ohkuchi5Shigeki Matsubara6Department of Obstetrics and Gynecology, Jichi Medical University, JapanDepartment of Obstetrics and Gynecology, Jichi Medical University, JapanDepartment of Obstetrics and Gynecology, Jichi Medical University, JapanDepartment of Obstetrics and Gynecology, Jichi Medical University, JapanDepartment of Obstetrics and Gynecology, Jichi Medical University, JapanDepartment of Obstetrics and Gynecology, Jichi Medical University, JapanDepartment of Obstetrics and Gynecology, Jichi Medical University, JapanAn interstitial pregnancy that continues beyond the second trimester is a rare phenomenon. We report a patient with an interstitial pregnancy undiagnosed until the third trimester. A multiparous woman was referred to us because of preeclampsia at 26 weeks of gestation. The placental position was the right fundus, and color Doppler ultrasound revealed myometrial thinning and subplacental hypervascularity, leading to a suspicion of placenta accreta spectrum (PAS). Emergency cesarean section was performed at 281/7 weeks of gestation due to severe preeclampsia. The right tubal horn to the isthmus of the fallopian tube bulged with placental adhesion and a part of the tube had ruptured, with the omentum adhering to the ruptured part. Interstitial and tubal isthmic pregnancy with uterine rupture was diagnosed.http://dx.doi.org/10.1155/2020/9408501 |
| spellingShingle | Shiho Nagayama Hironori Takahashi Shohei Tozawa Risa Narumi Rie Usui Akihide Ohkuchi Shigeki Matsubara Interstitial Pregnancy in the Third Trimester with Severe Preeclampsia: A Case Report and Literature Review Case Reports in Obstetrics and Gynecology |
| title | Interstitial Pregnancy in the Third Trimester with Severe Preeclampsia: A Case Report and Literature Review |
| title_full | Interstitial Pregnancy in the Third Trimester with Severe Preeclampsia: A Case Report and Literature Review |
| title_fullStr | Interstitial Pregnancy in the Third Trimester with Severe Preeclampsia: A Case Report and Literature Review |
| title_full_unstemmed | Interstitial Pregnancy in the Third Trimester with Severe Preeclampsia: A Case Report and Literature Review |
| title_short | Interstitial Pregnancy in the Third Trimester with Severe Preeclampsia: A Case Report and Literature Review |
| title_sort | interstitial pregnancy in the third trimester with severe preeclampsia a case report and literature review |
| url | http://dx.doi.org/10.1155/2020/9408501 |
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