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j.1447-0756.2010.01363.x.pdf | 1.39 MB | Adobe PDF | 見る/開く |
タイトル: | Management of retained products of conception with marked vascularity. |
著者: | Kitahara, Tomoko Sato, Yukiyasu Kakui, Kazuyo Tatsumi, Keiji Fujiwara, Hiroshi Konishi, Ikuo |
著者名の別形: | 佐藤, 幸保 |
キーワード: | color Doppler expectant management uterine artery embolization |
発行日: | 5-Jan-2011 |
出版者: | wiley |
誌名: | The journal of obstetrics and gynaecology research |
巻: | 37 |
号: | 5 |
開始ページ: | 458 |
終了ページ: | 464 |
抄録: | Cases of retained products of conception (RPOC) with marked vascularity present a clinical challenge because simple dilation and curettage (D&C) can lead to life-threatening hemorrhage. We describe here two cases of hypervascular RPOC that were successfully managed with two different approaches. Case 1: A 26-year-old woman with history of 3 D&Cs was transported to the emergency room for heavy vaginal bleeding 45 days after a spontaneous abortion. Diagnosis of RPOC with aneurysm-like structure was considered and uterine artery embolization was performed. Four days after the uterine artery embolization, reduction of the vascularity of RPOC was confirmed on color Doppler ultrasonography and D&C was successfully carried out. Case 2: A 37-year-old woman with history of one cesarean section became pregnant after the regular menses. She underwent D&C for missed abortion at 8 weeks' gestation. Seven days after the D&C, sonographically heterogenous mass emerged in the vicinity of the previous cesarean scar. Thereafter, the mass gradually grew larger and diagnosis of hypervascular placental polyp was considered. As the amount of vaginal bleeding was small, expectant management was instituted. Sixty-one days after the first D&C, reduction of the vascularity of RPOC was confirmed on color Doppler ultrasonography and D&C was successfully completed. |
著作権等: | This is the peer reviewed version of the following article: Kitahara, T., Sato, Y., Kakui, K., Tatsumi, K., Fujiwara, H. and Konishi, I. (2011), Management of retained products of conception with marked vascularity. Journal of Obstetrics and Gynaecology Research, 37: 458–464, which has been published in final form at http://dx.doi.org/10.1111/j.1447-0756.2010.01363.x This is not the published version. Please cite only the published version. この論文は出版社版でありません。引用の際には出版社版をご確認ご利用ください。 |
URI: | http://hdl.handle.net/2433/197589 |
DOI(出版社版): | 10.1111/j.1447-0756.2010.01363.x |
PubMed ID: | 21208344 |
出現コレクション: | 学術雑誌掲載論文等 |
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