title: Cesarean delivery via a transverse uterine fundal incision for the successful management of a low-lying placenta and aplastic anemia.
abstract: OBJECTIVE
  To present a case report on the successful management of a low-lying placenta and aplastic anemia. Aplastic anemia is a rare but serious disorder that is often characterized by severe pancytopenia. Because of the rarity of aplastic anemia, a pregnancy complicated by it is rarely encountered by obstetricians. Moreover, placenta previa (low-lying placenta) complicated by aplastic anemia has not been previously reported.
  
  
  METHODS
  The authors present the first reported case of placenta previa with aplastic anemia in a patient who had undergone a previous cesarean delivery.
  
  
  RESULTS
  They successfully managed this case by making a transverse uterine fundal incision during an elective cesarean delivery. This incision minimized blood loss and enabled good visualization of the source of bleeding in the lower uterine segment. Bleeding was stemmed by suturing the source of bleeding.
  
  
  CONCLUSIONS
  The authors propose that this procedure should be considered for patients with low platelet counts and abnormal placentation.
authors.forename: S
authors.initials: S
authors.lastname: Matsuzaki
authors.forename: K
authors.initials: K
authors.lastname: Yoshino
authors.forename: K
authors.initials: K
authors.lastname: Mimura
authors.forename: T
authors.initials: T
authors.lastname: Kanagawa
authors.forename: T
authors.initials: T
authors.lastname: Kimura
mesh_terms: D000328:Adult; D000741:Anemia, Aplastic; D016063:Blood Loss, Surgical / Q000517:prevention & control; D002585:Cesarean Section / Q000379:methods*; D019468:Disease Management; D005260:Female; D006801:Humans; D010923:Placenta Previa / Q000601:surgery*; D010929:Placentation; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic; D013537:Sutures; D014599:Uterus / Q000601:surgery*