Authors: Paolo Meloni 1; Terenzia Simari 2; Rodolfo Brizio 3; Roberto Conturso 4; Ilenia Mappa 5; Giuseppe Rizzo 5; Edward Araujo Júnior 6; Gabriele Tonni 7 Authors‘ workplace: Department of Obstetrics and Gynecology, ASL1 Imperiese, Imperia, Liguria, Italy 1; Antenatal Clinic, ASL1 Imperiese, Imperia, Liguria, Italy 2; Human Pathology Service, ASL1 Imperiese, Imperia, Liguria, Italy 3; Prenatal Medicine, Sant’Anna Hospital, Lugano, Switzerland 4; Department of Obstetrics and Gynecology, Fondazione Policlinico Tor Vergata, Tor Vergata University, Rome, Italy 5; Department of Obstetrics, Paulista School of Medicine – Federal University of S’ao Paulo (EPM-UNIFESP), São Paulo, Brazil 6; Prenatal Dia gnostic Service, Department of Obstetrics and Neonatology, and Researcher, Istituto di Ricovero e Cura a Carattere Scientifi co, (IRCCS), AUSL Reggio Emilia, Reggio Emilia, Italy 7 Published in: Ceska Gynekol 2024; 89(3): 215-218 Category: Case Report doi: https://doi.org/10.48095/cccg2024215
Odloučení placenty může být katastrofální událostí s následky pro matku i plod. Prezentujeme masivní odloučení placenty, ke kterému došlo u mladé asymptomatické matky v 30. týdnu těhotenství. Ačkoli elektronický monitoring plodu a ultrazvuk umožnily rychlou diagnózu retroplacentárního hematomu o velikosti 8 × 5 cm, plod během akutního císařského řezu odumřel. Plod byl intubován a resuscitován, ale neúspěšně. Histologické vyšetření placenty prokázalo ztenčené a na sebe navrstvené choriové klky se zvýšeným množstvím kapilár a syncitiálními hnízdy a ložisky fibrinoidní nekrózy za přítomnosti hyalinních pruhů jak na straně matky, tak na straně plodu.
histopatologické vyšetření – odloučená placenta – bez rizikových faktorů – akutní distres plodu – akutní císařský řez
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