SummaryOvarian pregnancy is one of the rarest types of ectopic pregnancy. The first case of it was reported by St. Maurice in 1689, and since then, few cases have been described in the literature. The incidence of ovarian pregnancy has recently increased due to the wider use of intrauterine devices and assisted reproductive techniques. The authors discuss the case of a 36-year-old primigravid woman who presented with abdominal pain, vomiting and amenorrhea. The patient has a two year history of primary infertility treated by in vitro fertilization. The ovarian pregnancy as the initial diagnosis was made during the operation and the final diagnosis was confirmed by the histopathological finding, which fulfilled Spiegelberg criteria.
Postpartum haemorrhage is most often diagnosed by visualizing external vaginal bleeding, however, in some cases the bleeding may be internal, which significantly increases the risk for delayed diagnosis. We present a case report of a puerperal woman with delayed diagnosis of internal postpartum haemorrhage, which is caused by the development of a Couvelair’s uterus after caesarean section, resulting in an acute hysterectomy.
Summary
A 30-year-old woman presented for elective cesarean section due to the suspicion of placental growth into uterine scar on ultrasound examination. At the time of the delivery morbidly adherent placenta was not detected but massive postpartum hemorrhage occurred. Patient was discharged and 13 days later emergency hysterectomy and suturing of urinary bladder was performed as a consequence of placenta percreta.
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