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Abstract

RÉSUMÉ
Nous rapportons un cas de placenta accréta révélé par une hémorragie massive consécutive à une aspiration manuelle intra-utérine pour une grossesse arrêtée de 14 semaines d’aménorrhées chez une patiente drépanocytaire SC de 33 ans ayant un antécédent de trois césariennes et d’un curetage endo-utérin. Le diagnostic était posé au décours d’une laparotomie exploratrice et confirmé par l’examen anatomopathologique. Le traitement chirurgical à consisté en une hystérectomie d’homostase. La patiente mourut une heure plus tard dans un contexte de choc septique et de défaillance multiviscérale. Ce diagnostic rare n’est pas à méconnaître au premier trimestre du fait de l’augmentation constante du taux des césariennes.


ABSTRACT
We report a case of placenta accreta revealed by a massive hemorrhage consecutive to an intrauterine manual aspiration for a non progress pregnancy at 14 weeks of amenorrhea in a 33-year-old sickle cell SC patient with a history of three cesareans and an uterus curetage. The diagnosis was made after exploring laparotomy and confirmed by the anatomopathological examination. Surgical treatment consisted of a homostasis hysterectomy. The patient died an hour later in a context of septic shock and multivisceral failure. This rare diagnosis is not to be disregarded in the first trimester due to the constant increase in the rate of cesareans.

Keywords

Placenta accréta, utérus cicatriciel, Hémorragie génitale, premier trimestre placenta accreta, scar uterus, genital hemorrhage, first trimester

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How to Cite
H Soumana Diaouga, M Chaibou Yacouba, M Oumara, S Guédé, Rah M Garba, N Idi, & M Nayama. (2023). Hémorragie Génitale Massive Révélant un Placenta Accréta au Premier Trimestre de la Grossesse chez une Patiente Drépanocytaire avec Utérus Tri Cicatriciel : À Propos d’un Cas. HEALTH SCIENCES AND DISEASE, 24(11). https://doi.org/10.5281/hsd.v24i11.4946
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References

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