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Case Reports
. 2018 Jul 13;6(9):1739-1746.
doi: 10.1002/ccr3.1717. eCollection 2018 Sep.

Conventional and conservative management of placenta accreta is two ends of a single continuum: A report of three cases and literature review

Yousaf Latif Khan  1   2 , Arooba Rahim  1   2 , Javed Gardezi  1 , Mariam Iqbal  1 , Zahira Hassan  3 , Sumbal Altaf  1 , Shahzad Bhatti  4   5   6
Affiliations
Case Reports

Conventional and conservative management of placenta accreta is two ends of a single continuum: A report of three cases and literature review

Yousaf Latif Khan et al. Clin Case Rep. .

Abstract

Placenta accreta (PA) is a critical condition that represents a significant source of morbidity and mortality observed in women with multiple prior cesarean sections. Precise prenatal identification of affected pregnancies permits optimal obstetric management. Antenatal diagnosis leads to less blood loss and a requirement for blood transfusion than women diagnose during cesarean section.

Keywords: Abnormal placentation; cesarean hysterectomy; cesarean section; conservative management; placenta accreta.

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Figures

Figure 1
Figure 1
Sagittal transvaginal ultrasound Image shows abnormal irregular bladder uterine serosa boarder
Figure 2
Figure 2
Sagittal transvaginal ultrasound image shows (A) Thinning of the myometrium in the lower uterine segment with few prominent vessels along the scar line. (B) The placenta is seen extending to the serosal surface of the bladder
Figure 3
Figure 3
Magnetic resonance imaging (MRI) Pelvis without contrast: (A) sagittal T2‐weighted MR image shows bulging of the uterus and tenting of the bladder. (B) Placenta lies anteriorly along with lower uterine segment completely covering the internal os
Figure 4
Figure 4
On Sagittal transvaginal ultrasound image placenta is seen extending to the serosal surface of the bladder
See this image and copyright information in PMC

References

    1. Silver RM, Fox KA, Barton JR, et al. Center of excellence for placenta accreta. Am J Obstet Gynecol. 2015;212(5):561‐568. - PubMed
    1. Kohn JR, Popek E, Diaz‐Arrastia CR, et al. Placenta percreta and incomplete uterine rupture after endometrial ablation and tubal occlusion. AJP Rep. 2016;6(4):e445. - PMC - PubMed
    1. Dankher S, Bachani S, Patel P, Shivhare S. Placenta increta at unscarred area in a previous caesarean women: a case report of an unusual pathogenesis of usual etiology. J Clin Case Rep. 2017;7(983):2.
    1. Pundir J, Coomarasamy A. Gynaecology: Evidence‐Based Algorithms. Cambridge, UK: Cambridge University Press; 2016.
    1. Dandapat AB, Pande B, Dora SK, Mohapatra KC, Nayak LM. A retrospective study on adherent placenta–its management, maternal and perinatal outcome. J Evol Med Dent Sci. 2017;6(34):2785‐2789.

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