TITLE:
SHER Grade IIIb Placenta Abruptio Complicating Severe Superimposed Pre-Eclampsia at 19 WA: A Case Report
AUTHORS:
Ulysse Minkobame Zaga Minko, Opheelia Makoyo Komba, Pamphile Assoumou Obiang, Irenée Edzo Mvono, Elsy Ntsame Mezui, Junior Minto’o, Jacques Albert Bang Ntamack, Jean François Meye
KEYWORDS:
Added Preeclampsia, Placenta Abruptio, 19 Weeks, Uterine Plication
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.13 No.9,
September
12,
2023
ABSTRACT: The
placenta abruptio is an extremely serious pathology which involves the
maternal-fetal prognosis. We report the case of a 19-year-old patient who
consulted for abdominopelvic pain associated with heavy vaginal bleeding on
19SA in a context of arterial hypertension. The symptomatology suddenly worsened with the onset of hemorrhagic shock,
which prompted an emergency hysterotomy. The diagnosis of placenta
abruptio grade III b of SHER was evoked.
Uterine atony was objectified intraoperatively and uterine compression
by the B-Lynch technique was performed. The evolution of the patient was favorable after a stay of 5
days in intensive care.