Subinvolution of placental bed vessels: case report and review of the literature
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  • 作者:Prof. Iztok Taka? MD ; PhD (2)
    Rajko Kavalar MD
    ; PhD (1)
    Darja Arko MD
    ; PhD (2)
    Nina Fokter Dovnik MD (2)
  • 关键词:Subinvolution ; Placental bed arteries ; Postpartum hemorrhage ; Postabortal hemorrhage ; Extravillous trophoblast ; Inkomplette Rückbildung ; Plazentabett ; Blutgef??e ; Postpartale Blutung ; Postabortale Blutung ; Extravill?ser Trophoblast
  • 刊名:Wiener klinische Wochenschrift
  • 出版年:2012
  • 出版时间:October 2012
  • 年:2012
  • 卷:124
  • 期:19-20
  • 页码:725-730
  • 全文大小:679KB
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    3. Weydert JA, Benda JA. Subinvolution of the placental site as an anatomic cause of postpartum uterine bleeding: a review. Arch Pathol Lab Med. 2006;130:1538-2.
    4. Wolfe SA, Pedowitz P. Late postpartum hemorrhage. Am J Obstet Gynecol. 1947;53:84-9.
    5. Küster H. Ueber Sp?tblutungen im Wochenbett. Neue Gesichtspunkte zur Beurteilung ihrer Aetiologie nach mikroskopischen Untersuchungen. Z Geburtsh Gynaek. 1910;67:430-4.
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    11. Sasagawa M, Watanabe S, Ohmomo Y, Honma S, Kanazawa K, Takeuchi S. Reactivity of two monoclonal antibodies (Troma 1 and CAM 5.2) on human tissue sections: analysis of their usefulness as a histological trophoblast marker in normal pregnancy and trophoblastic disease. Int J Gynecol Pathol. 1986;5:345-6. CrossRef
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    15. Khong TY, De Wolf F, Robertson WB, Brosens I. Inadequate maternal vascular response to placentation in pregnancies complicated by pre-eclampsia and by small-for-gestational age infants. Br J Obstet Gynecol. 1986;93:1049-9. CrossRef
    16. Khong TY, Liddell HS, Robertson WB. Defective haemochorial placentation as a cause of miscarriage: a preliminary study. Br J Obstet Gynecol. 1987;94:649-5. CrossRef
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    20. Costa MA, Calejo LI, Martinez-de-oliveira J, Laurini R. Late-onset postpartum hemorrhage from placental bed subinvolution: a case report. J Reprod Med. 2005;50:557-0.
    21. Al-Mehaisen L, Al-Kuran O, Amarin ZO, Matalka I, Beitawi S, Muhtaseb A. Secondary postpartum hemorrhage following placental site vessel subinvolution: a case report. Arch Gynecol Obstet. 2008;278:585-. CrossRef
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  • 作者单位:Prof. Iztok Taka? MD, PhD (2)
    Rajko Kavalar MD, PhD (1)
    Darja Arko MD, PhD (2)
    Nina Fokter Dovnik MD (2)

    2. University Department of Gynecology and Perinatology, University Clinical Centre Maribor, Ljubljanska 5, 2000, Maribor, Slovenia
    1. Department of Pathology, University Clinical Centre Maribor, Ljubljanska 5, 2000, Maribor, Slovenia
文摘
Subinvolution of placental bed vessels, a well-recognized cause of postpartum and postabortal hemorrhage, is defined with prolonged or excessive uterine hemorrhage beginning after the delivery or abortion. Although physiological changes in uteroplacental parts of spiral arteries are well known, the sequence of events in involution of these vessels is not yet clearly understood. In this article we present two cases of subinvolution of placental bed vessels in which we were able to demonstrate the presence of extravillous trophoblast in and around the placental bed vessels. The disease is supposed to be the result of abnormal interaction between maternal uterine cells and fetal trophoblast.

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