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DOI: 10.1055/a-1812-5574
Morbidly Adherent Placenta in the First Trimester with Consecutive Hysterectomy
Abstract
Background Morbidly adherent placenta (MAP) represents a risk factor for a maternal adverse outcome and its incidence continues to rise following the increasing rate of caesarean deliveries. The detection of a pathology of placental adherence in the first trimester is challenging. Transvaginal ultrasound represents (TVUS) a reliable tool for accurate and timely diagnosis. Case We report on a case of MAP in a pregnant woman at 10 weeks of gestation with two prior caesarean deliveries. She presented with abdominal pain and hematometra. The first trimester diagnosis was made with TVUS and confirmed with magnetic resonance imaging. The patient required an urgent hysterectomy. Conclusion Antenatal care in the first trimester in women with a previous cesarean delivery should include a detailed examination of the placenta with TVUS.
Keywords
antenatal care - first trimester - morbidly adherent placenta - transvaginal ultrasound - urgent hysterectomyPublication History
Received: 24 October 2021
Accepted after revision: 29 March 2022
Article published online:
04 July 2022
© 2022. Thieme. All rights reserved.
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References
- 1 Mogos MF, Salemi JL, Ashley M. et al. Recent trends in placenta accreta in the United States and its impact on maternal – fetal morbidity and healthcare-associated costs, 1998–2011. J Matern Fetal Neonatal Med 2016; 29: 1077-1082 DOI: 10.3109/14767058.2015.1034103.
- 2 Wu S, Kocherginsky M, Hibbard JU. Abnormal placentation: twenty-year analysis. Am J Obstet Gynecol 2005; 192: 1458-1461 DOI: 10.1016/j.ajog.2004.12.074.
- 3 Publications Committee, Society for Maternal-Fetal Medicine, Belfort MA Placenta accreta. Am J Obstet Gynecol 2010; 203: 430-439 DOI: 10.1016/j.ajog.2010.09.013.
- 4 Mulla BM, Weatherford R, Redhunt AM. et al. Hemorrhagic morbidity in placenta accreta spectrum with and without placenta previa. Arch Gynecol Obstet 2019; 300: 1601-1606 DOI: 10.1007/s00404-019-05338-y.
- 5 Shaamash AH, Houshimi WM, El-kanzi E-MM. et al. Abortion hysterectomy at 11 weeks’ gestation due to undiagnosed placenta accreta (PA): a case report and a mini review of literatures. Middle East Fertility Society Journal 2014; 19: 147-152 DOI: 10.1016/j.mefs.2014.03.005.
- 6 Shah J, Matta E, Acosta F. et al. Placenta percreta in first trimester after multiple rounds of failed medical management for a missed abortion. Case Rep Obstet Gynecol 2017; 2017: 6070732 DOI: 10.1155/2017/6070732.
- 7 Finberg HJ, Williams JW. Placenta accreta: prospective sonographic diagnosis in patients with placenta previa and prior cesarean section. J Ultrasound Med 1992; 11: 333-343 DOI: 10.7863/jum.1992.11.7.333.
- 8 Lax A, Prince MR, Mennitt KW. et al. The value of specific MRI features in the evaluation of suspected placental invasion. Magn Reson Imaging 2007; 25: 87-93 DOI: 10.1016/j.mri.2006.10.007.
- 9 Derman AY, Nikac V, Haberman S. et al. MRI of placenta accreta: a new imaging perspective. AJR Am J Roentgenol 2011; 197: 1514-1521 DOI: 10.2214/AJR.10.5443.