Pregnancy after chemoradiotherapy in childhood: Complications and recommendations - about one case - 16/01/21
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Abstract |
The question of pregnancy prognosis after radio chemotherapy is unaddressed. We report here the case of three successive spontaneous pregnancies 17 years after the management of a thigh rhabdomyosarcoma treated by radiochemotherapy.
In 2018 the patient aged 22 presented with a spontaneous miscarriage.
In 2019, she obtained a new spontaneous pregnancy. At 21 W G, she presented with threatened late miscarriage and gave birth to a live girl who would die. Three months after delivery, she had spontaneous pregnancy. At 18 W G, emergency cervical cerclage was performed. At 35 W G the ultrasound found severe intrauterine growth retardation. Cesarean section was performed allowing the birth of a girl in good health status. Childbirth was complicated by 1L8 postpartum hemorrhage secondary to uterine atony, controlled after surgical revision.
To conclude, pregnancy in a patient with a history of pelvic irradiation in childhood must be considered high-risk pregnancy and its management must be multidisciplinary.
Le texte complet de cet article est disponible en PDF.Abbreviations : WG
Keywords : Radio chemotherapy, Miscarriage, Intrauterine growth retardation, Post-partum hemorrhage, High-risk pregnancy, Uterine fibrosis
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Vol 50 - N° 1
Article 101947- janvier 2021 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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