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KMID : 1201620090020030129
Journal of Women s Medicine
2009 Volume.2 No. 3 p.129 ~ p.131
Antenatal placental abscess formation in a case of placenta previa totalis associated with placenta increta
Lee Hyun-Mee

Eom Dae-Woon
Yi Sang-Wook
Lee Sang-Soo
Park Han-Moie
Sohn Woo-Seok
Abstract
Antenatal placental abscess formation is a rare condition, and it is difficult to prenatally diagnose a placental abscess. a 40-year-old woman came to our clinic due to implantation of a fetus at a low uterine segment, and she had undergone uneventful prenatal care. She suddenly came to the emergency room due to abdominal pain and fever, and she showed a fluctuating pattern of fever despite of antibiotic usage. A diagnosis of a chorioamnionitis was made according to the symptoms, and so we performed a cesarean delivery. Pus was observed around the placenta near the incision site, and this was associated with placenta increta that showed massive hemorrhage; we then performed a hysterectomy. She was discharged in a stable condition and the baby was fine. The appropriate management for placental abscess would be consistent with surgical removal
and administering antibiotics.
KEYWORD
Placenta previa, Placenta increta, Abscess
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