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 secon d and third abortions were complicated by incomplete evacuation of uterine contents, and uterine sacculation teas diagnosed. Preterm delivery and a re tained placenta complicated the present pregnancy. At laparotomy, recurrenc e of uterine sacculation was noted in the left fundal region of a bicornuat e uterus. A hysterotomy was performed to remove the placenta from the saccu lation. CONCLUSION: In a patient with multiple uterine procedures and retained plac enta, uterine sacculation can develop.