关键词: High-risk pregnancy Intrauterine growth retardation Miscarriage Post-partum hemorrhage Radio chemotherapy Uterine fibrosis

Mesh : Abortion, Spontaneous Cerclage, Cervical Cesarean Section Chemoradiotherapy Female Fetal Growth Retardation Humans Postpartum Hemorrhage / surgery Pregnancy Pregnancy, High-Risk Rhabdomyosarcoma / therapy Soft Tissue Neoplasms / therapy Stillbirth Uterine Inertia / surgery Young Adult

来  源:   DOI:10.1016/j.jogoh.2020.101947   PDF(Sci-hub)

Abstract:
The question of pregnancy prognosis after radio chemotherapy is unaddressed. We report here the case of three successive spontaneous pregnancies 17 years after the management of a thigh rhabdomyosarcoma treated by radiochemotherapy. In 2018 the patient aged 22 presented with a spontaneous miscarriage. In 2019, she obtained a new spontaneous pregnancy. At 21 W G, she presented with threatened late miscarriage and gave birth to a live girl who would die. Three months after delivery, she had spontaneous pregnancy. At 18 W G, emergency cervical cerclage was performed. At 35 W G the ultrasound found severe intrauterine growth retardation. Cesarean section was performed allowing the birth of a girl in good health status. Childbirth was complicated by 1L8 postpartum hemorrhage secondary to uterine atony, controlled after surgical revision. To conclude, pregnancy in a patient with a history of pelvic irradiation in childhood must be considered high-risk pregnancy and its management must be multidisciplinary.
摘要:
暂无翻译
公众号