Background <p>Angular pregnancy is a rare eccentric intrauterine implantation often misdiagnosed as interstitial pregnancy, leading to severe complications.</p> Case presentation <p>A 28-year-old woman presented in shock following a 21-week spontaneous abortion. She had prior abdominal pain and spotting, with normal ultrasounds reported.</p> <p>Emergency laparotomy revealed massive hemoperitoneum and focal placenta percreta with asymmetric uterine enlargement. Hysterectomy was performed, and histopathology confirmed the diagnosis.</p> Conclusion <p>Early recognition of angular pregnancy through expert imaging is crucial. Timely diagnosis can prevent catastrophic hemorrhage and allow planned, conservative management, improving maternal outcomes.</p>

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A Deadly Angle: Placenta Percreta in Angular Pregnancy with Postabortal Hemoperitoneum

  • Richa Sharma

摘要

Background

Angular pregnancy is a rare eccentric intrauterine implantation often misdiagnosed as interstitial pregnancy, leading to severe complications.

Case presentation

A 28-year-old woman presented in shock following a 21-week spontaneous abortion. She had prior abdominal pain and spotting, with normal ultrasounds reported.

Emergency laparotomy revealed massive hemoperitoneum and focal placenta percreta with asymmetric uterine enlargement. Hysterectomy was performed, and histopathology confirmed the diagnosis.

Conclusion

Early recognition of angular pregnancy through expert imaging is crucial. Timely diagnosis can prevent catastrophic hemorrhage and allow planned, conservative management, improving maternal outcomes.