Uterine Sacculation With Entrapped Placenta After Delivery
Michael T Solotke1, Glenn Boyles, Kara Rood
1Department of Obstetrics and Gynecology and the Department of Radiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois; and the Division of Maternal-Fetal Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio.
Obstetrics and Gynecology
|February 13, 2024
Summary
Uterine sacculation, a rare condition where a uterine pouch retains the placenta, can lead to retained placenta. Awareness of this diagnosis and management options is crucial for obstetric clinicians.
Area of Science:
- Reproductive Medicine
- Obstetrics and Gynecology
Background:
- Uterine sacculation is a rare condition involving a temporary uterine pouch.
- This pouch may contain placental or fetal parts, diagnosed antepartum or postpartum.
- Limited published data exists on uterine sacculation and its management.
Purpose of the Study:
- To describe two cases of uterine sacculation with entrapped placenta.
- To illustrate different management approaches for this rare obstetric complication.
Main Methods:
- Case report of two postpartum patients diagnosed with uterine sacculation and entrapped placenta.
- One patient managed with immediate laparotomy and placental extraction.
- Second patient managed conservatively, later requiring laparotomy due to infection.
Main Results:
- Uterine sacculation with entrapped placenta is a potential cause of retained placenta.
- Immediate surgical intervention was successful in one case.
- Conservative management in the second case led to complications requiring surgery.
Conclusions:
- Uterine sacculation with entrapped placenta is a rare but significant cause of retained placenta.
- Obstetric clinicians must be aware of this diagnosis.
- Knowledge of available management strategies is essential for optimal patient care.
