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A 38-year-old woman (gravida 5, para 1) was admitted to another hospital in spontaneous labor.
The patient's first pregnancy, six years earlier, had ended successfully at 36 weeks' gestation. A low transverse cesarean section was performed because of a breech presentation, and a uterine leiomyoma was resected. Subsequently, the patient had three spontaneous abortions in the first trimester. The most recent abortion occurred a year before admission, at six weeks' gestation. An ultrasonographic examination showed a nonviable fetus and a leiomyoma, 5 cm in diameter, adjacent to the gestational sac. A suction dilation and curettage was performed without complications.
With
Differential Diagnosis
Clinical Diagnoses
Dr. Michael F. Greene's Diagnoses
Pathological Discussion
Anatomical Diagnoses
References
Related Letters:
Case 9-1998: Uterine Rupture
Weiss R. R., Murray T. M., Vázquez F. V., Greene M. F., Mark E. J., Roberts D. J.
Extract |
Full Text
N Engl J Med 1998;
339:268-269, Jul 23, 1998.
Correspondence
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