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Clinical and Experimental Obstetrics & Gynecology  2016, Vol. 43 Issue (2): 262-264    DOI: 10.12891/ceog2055.2016
Case Report Previous articles | Next articles
Cesarean delivery via a transverse uterine fundal incision for the successful management of a low-lying placenta and aplastic anemia
S. Matsuzaki1, *(), K. Yoshino1, K. Mimura1, T. Kanagawa1, T. Kimura1
1Department of Obstetrics and Gynaecology, Osaka University Graduate School of Medicine, Osaka (Japan)
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Abstract  
Purpose: To present a case report on the successful management of a low-lying placenta and aplastic anemia. Aplastic anemia is a rare but serious disorder that is often characterized by severe pancytopenia. Because of the rarity of aplastic anemia, a pregnancy complicated by it is rarely encountered by obstetricians. Moreover, placenta previa (low-lying placenta) complicated by aplastic anemia has not been previously reported. Materials and methods: The authors present the first reported case of placenta previa with aplastic anemia in a patient who had undergone a previous cesarean delivery. Results: They successfully managed this case by making a transverse uterine fundal incision during an elective cesarean delivery. This incision minimized blood loss and enabled good visualization of the source of bleeding in the lower uterine segment. Bleeding was stemmed by suturing the source of bleeding. Conclusion: The authors propose that this procedure should be considered for patients with low platelet counts and abnormal placentation.
Key words:  Aplastic anemia      Pancytopenia      Placenta previa      Transverse uterine fundal incision     
Published:  10 April 2016     
*Corresponding Author(s):  S. MATSUZAKI     E-mail:  zacky@gyne.med.osaka-u.ac.jp

Cite this article: 

S. Matsuzaki, K. Yoshino, K. Mimura, T. Kanagawa, T. Kimura. Cesarean delivery via a transverse uterine fundal incision for the successful management of a low-lying placenta and aplastic anemia. Clinical and Experimental Obstetrics & Gynecology, 2016, 43(2): 262-264.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog2055.2016     OR     https://ceog.imrpress.com/EN/Y2016/V43/I2/262

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