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Recurrent sacculation of the pregnant uterus. A case report
1Department of Obstetrics and Gynecology, Texas Tech University Health Sciences Center, No. 3B147, 3601 4th Street, Lubbock, TX 79430, USA. obgvam@ttuhsc.edu
Background:
Recurrent uterine sacculation is very rare and associated only with pregnancy. It commonly complicates delivery with a retained placenta.
Case:
A 24-year-old woman, gravida 4, para 0, with three previous elective abortions, presented in preterm labor at 32 6/7 weeks' gestation. Her second and third abortions were complicated by incomplete evacuation of uterine contents, and uterine sacculation was diagnosed. Preterm delivery and a retained placenta complicated the present pregnancy. At laparotomy, recurrence of uterine sacculation was noted in the left fundal region of a bicornuate uterus. A hysterotomy was performed to remove the placenta from the sacculation.
Conclusion:
In a patient with multiple uterine procedures and retained placenta, uterine sacculation can develop.