A rare case of first-trimester placenta increta in an unscarred uterus: Diagnostic and management strategies / Philippine Journal of Obstetrics and Gynecology
Philippine Journal of Obstetrics and Gynecology
;
: 82-86, 2021.
Article
in English
| WPRIM
| ID: wpr-964137
ABSTRACT
@#Placenta accreta syndrome (PAS) is rare in first-trimester abortions with an unscarred uterus. It is this rarity that makes diagnosis and management difficult and challenging. This is a case report of a multigravid with an early incomplete abortion complicated by PAS (placenta increta) manifesting as an ill-defined hypervascular uterine cavity mass on transvaginal ultrasound, with decreasing trends of serum beta-human chorionic gonadotropin. PAS was successfully diagnosed preoperatively, and an uneventful hysterectomy was performed. A curettage that could potentially lead to catastrophic hemorrhage was prevented. This case highlights the diagnostic dilemma in early trimester PAS, the importance of early accurate diagnosis, and a good correlation with ancillary diagnostics to provide prompt and appropriate management.
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Index:
WPRIM (Western Pacific)
Main subject:
Placenta Accreta
/
Ultrasonography, Doppler, Color
Limits:
Pregnancy
Language:
English
Journal:
Philippine Journal of Obstetrics and Gynecology
Year:
2021
Type:
Article
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