Fulminant massive obstetric hemorrhage in the second trimester of pregnancy in the presence of uterine arteriovenous malformation and placenta increta
Background. Uterine arteriovenous malformation (AVM) is a rather rare condition that can cause life-threatening obstetric hemorrhage. AVMs are classified as congenital and acquired. Acquired uterine AVMs result from previous uterine operations (diagnostic or therapeutic curettages, cesarean section, myomectomy, etc.) or myometrial morphological changes (adenomyosis, metroendometritis, trophoblast diseases, etc.). In recent years, the world has seen a substantial increase in the frequency of cesarean section; in parallel, there have been increasingly more publications on the detection rates of uterine AVM.Belokrinitskaya T.E., Deikova E.Z., Goncharova M.A., Fillipov O.S.
Case report. The paper describes a case of maternal mortality from fulminant massive obstetric hemorrhage in the second trimester of pregnancy in the presence of uterine AVM and placenta increta.
Conclusion. The data obtained from the analysis of the case may be useful in predicting this pregnancy complication in risk group patients.
Keywords
uterine arteriovenous malformation
placenta increta
spontaneous miscarriage
massive obstetric hemorrhage
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Received 15.11.2017
Accepted 22.12.2017
About the Authors
Belokrinitskaya, Tatiana E., MD, PhD, Professor, the head of the Obstetrics and Gynecology Department, Chita State Medical Academy, Ministry of Health of Russia.672090, Russia, Chita, Gorky str. 39a. Email: tanbell24@mail.ru
Deykova, Elena Z., Deputy Director of the Transbaikal Regional Pathoanatomical Bureau. 672038, Russia, Chita, Matveeva str. 64. E-mail: palburo@yandex.ru
Goncharova, Marina A., the head of the Pathoanatomical Department of the Transbaikal Regional Pathoanatomical Bureau.
672038, Russia, Chita, Matveeva str. 64. E-mail: palburo@yandex.ru
Filippov, Oleg S., MD, PhD, Professor, Deputy Director of the Department of medical care to children and mothers, Ministry of Health of Russia, Professor
of the Reproductive Medicine and Surgery Department of the Moscow State University of Medicine and Dentistry named after A.I. Evdokimov, Ministry of Health of Russia.
127994, Russia, Moscow, Rakhmanovsky str. 3. E-mail: filippovos@rosminzdrav.ru
For citations: Belokrinitskaya T.E., Deikova E.Z., Goncharova M.A., Fillipov O.S. Fulminant massive obstetric hemorrhage in the second trimester of pregnancy in the presence of uterine arteriovenous malformation and placenta increta. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2018; (7): 126-31. (in Russian)
https://dx.doi.org/10.18565/aig.2018.7.126-131
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