Stillbirth due to placental hypoperfusion after salpingo-oophorectomy for an ovarian cyst.
BACKGROUND
Gravid oophorectomy past mid-pregnancy may be necessary, but the alterations of blood flow to supply the placenta may present risks to the mother and fetus.


METHODS
A salpingo-oophorectomy for a mucinous cystadenoma resulted in a postoperative hemorrhage of 2 L and fetal death. The placenta demonstrated a unique lesion that was consistent with global hypoperfusion of the placenta.


CONCLUSIONS
The postoperative hemorrhage occurred despite good immediate operative hemostasis. Blood flow was shunted from the uteroplacental circulation due to the large utero-ovarian collateral circulation.
Bendon
Robert W
RW
Kosair Children's Hospital, Louisville, Kentucky 40202, USA. robert.bendon@nortonhealthcare.org
Cantor
Divya B
DB
D000328:Adult; D018291:Cystadenoma, Mucinous / Q000473:pathology / Q000601:surgery; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D005313:Fetal Death / Q000209:etiology*; D006801:Humans; D007238:Infarction / Q000209:etiology*; D010051:Ovarian Neoplasms / Q000473:pathology / Q000601:surgery; D010052:Ovariectomy / Q000009:adverse effects*; D010920:Placenta / Q000098:blood supply* / Q000473:pathology; D019106:Postoperative Hemorrhage / Q000150:complications*; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000473:pathology / Q000601:surgery*; D012039:Regional Blood Flow; D050497:Stillbirth