Recurrent sacculation of the pregnant uterus. A case report.
BACKGROUND
Recurrent uterine sacculation is very rare and associated only with pregnancy. It commonly complicates delivery with a retained placenta.


METHODS
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.


CONCLUSIONS
In a patient with multiple uterine procedures and retained placenta, uterine sacculation can develop.
Minassian
V A
VA
Department of Obstetrics and Gynecology, Texas Tech University Health Sciences Center, No. 3B147, 3601 4th Street, Lubbock, TX 79430, USA. obgvam@ttuhsc.edu
Dunn
M
M
D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D005322:Premature Rupture of Fetal Membranes; D006801:Humans; D007044:Hysterectomy; D011247:Pregnancy; D011248:Pregnancy Complications / Q000000981:diagnostic imaging* / Q000601:surgery; D012008:Recurrence; D016216:Ultrasonography, Prenatal; D014599:Uterus / Q000002:abnormalities* / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery