The conservative management of retained placenta accreta has been proposed as an alternative option in selected cases. Three patients under conservative management of placenta accreta were followed using the pulsatility index of the uterine arteries and the β fraction of human chorionic gonadotropin to determine the degree of vascularity between the uterus and the placenta. In this series of cases of conservative management of placenta accreta, the pulsatility index of the uterine arteries showed a better correlation with the uteroplacental circulation than serum β fraction of human chorionic gonadotropin.
We are reporting the case of a patient with a giant liposarcoma, during the pregnancy and the outcomes of both patients.
Case reportA 35-year-old patient, pregnant, with history of two previous cesarean deliveries was referred to our service due the presence of an abdominal mass at 36 weeks of gestational age. The patient declined any other medical problems and stated that over the course of two years advised the growing of her abdomen but did not seek medical attention.To the physical examination she was cachectic, with the presence of an evident mass extending from the right subcostal angle and part of the left side to the symphysis pubis, displacing the gravid uterus from the midline to the left side.An ultrasound of the abdomen and pelvis revealed a fetal survey within normal limits with a biophysical profile of 8/8 and the presence of the abdominal mass displacing the intraabdominal organs. During the moment of the ultrasound survey the patient started with uterine contractions and was transferred to the labor and delivery room, reason why a magnetic resonance image was not performed. In the labor and delivery area she was found in active phase of labor. Due the history of
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