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Asymptomatické akutní masivní odloučení placenty v 30. týdnu těhotenství u primigravidy bez rizikových faktoru – klinické projevy a léčba


Authors: Paolo Meloni 1;  Terenzia Simari 2;  Rodolfo Brizio 3;  Roberto Conturso 4;  Ilenia Mappa 5;  Giuseppe Rizzo 5;  Edward Araujo Júnior 6;  Gabriele Tonni 7
Authors‘ workplace: Department of Obstetrics and Gynecology, ASL1 Imperiese, Imperia, Liguria, Italy 1;  Antenatal Clinic, ASL1 Imperiese, Imperia, Liguria, Italy 2;  Human Pathology Service, ASL1 Imperiese, Imperia, Liguria, Italy 3;  Prenatal Medicine, Sant’Anna Hospital, Lugano, Switzerland 4;  Department of Obstetrics and Gynecology, Fondazione Policlinico Tor Vergata, Tor Vergata University, Rome, Italy 5;  Department of Obstetrics, Paulista School of Medicine – Federal University of S’ao Paulo (EPM-UNIFESP), São Paulo, Brazil 6;  Prenatal Dia gnostic Service, Department of Obstetrics and Neonatology, and Researcher, Istituto di Ricovero e Cura a Carattere Scientifi co, (IRCCS), AUSL Reggio Emilia, Reggio Emilia, Italy 7
Published in: Ceska Gynekol 2024; 89(3): 215-218
Category: Case Report
doi: https://doi.org/10.48095/cccg2024215

Overview

Odloučení placenty může být katastrofální událostí s následky pro matku i plod. Prezentujeme masivní odloučení placenty, ke kterému došlo u mladé asymptomatické matky v 30. týdnu těhotenství. Ačkoli elektronický monitoring plodu a ultrazvuk umožnily rychlou diagnózu retroplacentárního hematomu o velikosti 8 × 5 cm, plod během akutního císařského řezu odumřel. Plod byl intubován a resuscitován, ale neúspěšně. Histologické vyšetření placenty prokázalo ztenčené a na sebe navrstvené choriové klky se zvýšeným množstvím kapilár a syncitiálními hnízdy a ložisky fibrinoidní nekrózy za přítomnosti hyalinních pruhů jak na straně matky, tak na straně plodu.

Klíčová slova:

histopatologické vyšetření – odloučená placenta – bez rizikových faktorů – akutní distres plodu – akutní císařský řez


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ORCID authors
P. Meloni 0000-0003-2775-3216
T. Simari 0009-0000-4474-7569
R. Brizio 0000-0003-2979-1531
R. Conturso 0009-0000-8980-0212
I. Mappa 0000-0002-9866-3050
G. Rizzo 0000-0002-5525-4353
E. Araujo Júnior 0000-0002-6145-2532
G. Tonni 0000-0020-7486-2620
Submitted/Doručeno: 18. 9. 2023
Accepted/Přijato: 16. 2. 2024
Prof. Edward Araujo Júnior, MD, PhD
Rua Belchior de Azevedo
156 apto. 111 Torre Vitoria
Vila Leopoldina
CEP 05089-030
São Paulo-SP, Brazil
araujojred@terra.com.br
Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine

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Czech Gynaecology

Issue 3

2024 Issue 3

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