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Principios de Patología

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358 <strong>Patología</strong> especial<br />

FIGURA 12-61. Pieza <strong>de</strong> histerectomía por acretismo. La paciente presentó hemorragia intensa y retención <strong>de</strong> la placenta. El útero es <strong>de</strong> tipo puerperal, gran<strong>de</strong>, no contraído (subinvolucionado),<br />

y se observa una placenta <strong>de</strong> inserción baja que involucra todo el espesor <strong>de</strong> la pared uterina (placenta percreta).

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