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.

CASE: 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.

CONCLUSION

In a patient with multiple uterine procedures and retained placenta, uterine sacculation can develop.