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Titel: Can SARS-CoV-2 Induce Uterine Vascular Anomalies and Poor Contractile Response?—A Case Report
VerfasserIn: Lesnic, Anca
Haj Hamoud, Bashar
Poenaru, Mircea-Octavian
Moldovan, Valentin-Tiberiu
Chicea, Radu
Sima, Romina-Marina
Popescu, Mihai
Ples, Liana
Sprache: Englisch
Titel: Medicina
Bandnummer: 57
Heft: 7
Verlag/Plattform: MDPI
Erscheinungsjahr: 2021
Freie Schlagwörter: gravida
pregnancy
hypertension
COVID-19
SARS-CoV-2
atony of uterus
postpartum hysterectomy
DDC-Sachgruppe: 610 Medizin, Gesundheit
Dokumenttyp: Journalartikel / Zeitschriftenartikel
Abstract: We are reporting a case of a 36 year-old Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) positive hypertensive primigravida with postpartum uterine atony that required emergency subtotal hysterectomy at Saint John Hospital Bucur Maternity Bucharest. The maternity was designated as the Coronavirus Disease 2019 (COVID-19) Maternity for Bucharest and Ilfov County since March 2020. The patient was mildly symptomatic for SARS-CoV-2, infection confirmed with reverse transcription polymerase chain reaction (RT-PCR). The caesarean section was performed and a live male fetus was born, 2630 g and Apgar Score of 9 (the male fetus was negative for SARSCoV-2). Postpartum hysterectomy with adnexal preservation was performed because of uterine atony. The postoperative evolution was favorable. The patient was discharged with her baby 10 days after birth. Given the limited resources, the placenta, the umbilical cord and the uterus were not tested for SARS-CoV-2. The pathology exam revealed that on the maternal side there were specific uterine atony lesions as well as endometrial and miometrial ischaemia. The placenta had nonspecific findings: chronic ischemic lesions with small villi, fibrin deposits in the materno-fetal interface. The peculiarity of the case is that we report the morphological findings of the placenta and uterus resulted from intrapartum uterine atonia in a patient with gestational arterial hypertension, premature birth and COVID-19. Further studies are required to characterize the pattern of such intricate conditions.
DOI der Erstveröffentlichung: 10.3390/medicina57070670
Link zu diesem Datensatz: urn:nbn:de:bsz:291--ds-344548
hdl:20.500.11880/31603
http://dx.doi.org/10.22028/D291-34454
ISSN: 1648-9144
Datum des Eintrags: 3-Aug-2021
Fakultät: M - Medizinische Fakultät
Fachrichtung: M - Frauenheilkunde
Professur: M - Keiner Professur zugeordnet
Sammlung:SciDok - Der Wissenschaftsserver der Universität des Saarlandes

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