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Obstetrics and gynaecology
Hysterotomy for retained placenta in suspected angular pregnancy
  1. Rachel Newman1,
  2. Alia Nazir1,
  3. Michael Leung2 and
  4. Deepali Patni2
  1. 1Obstetrics and Gynecology, The University of Texas Health Science Center at Houston, Houston, Texas, USA
  2. 2Obstetrics and Gynecology, Kelsey-Seybold Clinic, Houston, Texas, USA
  1. Correspondence to Dr Rachel Newman; ranewm{at}gmail.com

Abstract

Background Angular pregnancy is a rare event and is a commonly missed diagnosis in the antepartum period. Data regarding the optimal mode of delivery and management of the placenta are limited.

Case description A patient in her 30s, gravida 3, para 1 presented at 37 weeks with severe range blood pressure and was admitted for induction of labour due to preeclampsia. Her labour course and delivery of the neonate were uncomplicated. Despite attempts at manual extraction and suction dilation and curettage, the placenta was unable to be removed. Ultrasound revealed the placenta in the right cornua, suspicious for angular pregnancy. She was taken to the operating room for exploratory laparotomy and hysterotomy for extraction of the placenta. She had an uncomplicated postpartum course and was discharged home on postpartum day 4.

Conclusion In patients with suspected angular pregnancy, exploratory laparotomy and hysterotomy may be required for placental removal.

  • Pregnancy
  • Ultrasonography
  • Uterus

https://doi.org/10.1136/bcr-2024-261450

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    Footnotes

    • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: RN, AN, ML, DP. The following authors gave final approval of the manuscript: RN, AN, ML, DP.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.