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A Case Report and Literature Review of Midtrimester Termination of Pregnancy Complicated by Placenta Previa and Placenta Accreta
Objective Concurrent placenta previa and placenta accreta increase the risk of massive obstetric hemorrhage. Despite extensive research on the management of placenta previa (including placenta accreta, increta, and percreta), the number and quality of previous studies are limited. We present a case...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Thieme Medical Publishers
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4502619/ https://www.ncbi.nlm.nih.gov/pubmed/26199801 http://dx.doi.org/10.1055/s-0034-1395992 |
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author | Matsuzaki, Satoko Matsuzaki, Shinya Ueda, Yutaka Tanaka, Yusuke Kakuda, Mamoru Kanagawa, Takeshi Kimura, Tadashi |
author_facet | Matsuzaki, Satoko Matsuzaki, Shinya Ueda, Yutaka Tanaka, Yusuke Kakuda, Mamoru Kanagawa, Takeshi Kimura, Tadashi |
author_sort | Matsuzaki, Satoko |
collection | PubMed |
description | Objective Concurrent placenta previa and placenta accreta increase the risk of massive obstetric hemorrhage. Despite extensive research on the management of placenta previa (including placenta accreta, increta, and percreta), the number and quality of previous studies are limited. We present a case of placenta accreta requiring an induced second-trimester abortion because of premature rupture of the membranes (PROM). Study Design Case report and review of the literature. Results A 41-year-old female presented at 20 weeks of gestation with placenta previa and PROM. Ultrasonography revealed placenta accreta with multiple placental lacunae. She then developed massive hemorrhaging just prior to a planned termination of pregnancy. We performed a hysterectomy with the intent of preserving life because of the failure of the placenta to detach and blood loss totaling 4,500 mL. Conclusion Previous studies suggest that second-trimester pregnancy terminations in cases of placenta previa which are not complicated with placenta accreta do not have a particularly high risk of hemorrhage. However, together with our case, the literature suggests that placenta previa complicated with placenta accreta presents a significant risk of hemorrhage both during delivery and intraoperatively. Further reports are needed to evaluate the most appropriate treatment options. |
format | Online Article Text |
id | pubmed-4502619 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Thieme Medical Publishers |
record_format | MEDLINE/PubMed |
spelling | pubmed-45026192015-07-21 A Case Report and Literature Review of Midtrimester Termination of Pregnancy Complicated by Placenta Previa and Placenta Accreta Matsuzaki, Satoko Matsuzaki, Shinya Ueda, Yutaka Tanaka, Yusuke Kakuda, Mamoru Kanagawa, Takeshi Kimura, Tadashi AJP Rep Article Objective Concurrent placenta previa and placenta accreta increase the risk of massive obstetric hemorrhage. Despite extensive research on the management of placenta previa (including placenta accreta, increta, and percreta), the number and quality of previous studies are limited. We present a case of placenta accreta requiring an induced second-trimester abortion because of premature rupture of the membranes (PROM). Study Design Case report and review of the literature. Results A 41-year-old female presented at 20 weeks of gestation with placenta previa and PROM. Ultrasonography revealed placenta accreta with multiple placental lacunae. She then developed massive hemorrhaging just prior to a planned termination of pregnancy. We performed a hysterectomy with the intent of preserving life because of the failure of the placenta to detach and blood loss totaling 4,500 mL. Conclusion Previous studies suggest that second-trimester pregnancy terminations in cases of placenta previa which are not complicated with placenta accreta do not have a particularly high risk of hemorrhage. However, together with our case, the literature suggests that placenta previa complicated with placenta accreta presents a significant risk of hemorrhage both during delivery and intraoperatively. Further reports are needed to evaluate the most appropriate treatment options. Thieme Medical Publishers 2014-12-18 2015-04 /pmc/articles/PMC4502619/ /pubmed/26199801 http://dx.doi.org/10.1055/s-0034-1395992 Text en © Thieme Medical Publishers |
spellingShingle | Article Matsuzaki, Satoko Matsuzaki, Shinya Ueda, Yutaka Tanaka, Yusuke Kakuda, Mamoru Kanagawa, Takeshi Kimura, Tadashi A Case Report and Literature Review of Midtrimester Termination of Pregnancy Complicated by Placenta Previa and Placenta Accreta |
title | A Case Report and Literature Review of Midtrimester Termination of Pregnancy Complicated by Placenta Previa and Placenta Accreta |
title_full | A Case Report and Literature Review of Midtrimester Termination of Pregnancy Complicated by Placenta Previa and Placenta Accreta |
title_fullStr | A Case Report and Literature Review of Midtrimester Termination of Pregnancy Complicated by Placenta Previa and Placenta Accreta |
title_full_unstemmed | A Case Report and Literature Review of Midtrimester Termination of Pregnancy Complicated by Placenta Previa and Placenta Accreta |
title_short | A Case Report and Literature Review of Midtrimester Termination of Pregnancy Complicated by Placenta Previa and Placenta Accreta |
title_sort | case report and literature review of midtrimester termination of pregnancy complicated by placenta previa and placenta accreta |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4502619/ https://www.ncbi.nlm.nih.gov/pubmed/26199801 http://dx.doi.org/10.1055/s-0034-1395992 |
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