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.
Background:
Uterine sacculation refers to a temporary pouch or sac within the uterus that may contain the placenta or fetal parts and that may be diagnosed antepartum or after delivery. There is very limited published information about this rare condition and its management.
Cases:
We report two cases of uterine sacculation with entrapped placenta diagnosed immediately postpartum, managed with two different approaches. In one case, the patient underwent immediate laparotomy and placental extraction. In the second case, the patient was managed conservatively but ultimately developed signs of infection and underwent laparotomy.
Conclusion:
Uterine sacculation with entrapped placenta is a rare condition that is a potential etiology of retained placenta. Obstetric clinicians should be aware of this diagnosis and the management strategies available.
