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Placenta increta presenting with threatened miscarriage during the first trimester in rhesus-negative mother: a case report

BACKGROUND: Placenta accreta is known to be associated with significant maternal morbidity and mortality—primarily due to intractable bleeding during abortion or delivery at any level of gestation. The complications could be reduced if placenta accreta is suspected in a patient with a history of pre...

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Autores principales: Nik-Ahmad-Zuky, Nik Lah, Seoparjoo, Azmel, Husna, Engku Ismail Engku
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8424964/
https://www.ncbi.nlm.nih.gov/pubmed/34493340
http://dx.doi.org/10.1186/s13256-021-03030-x
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author Nik-Ahmad-Zuky, Nik Lah
Seoparjoo, Azmel
Husna, Engku Ismail Engku
author_facet Nik-Ahmad-Zuky, Nik Lah
Seoparjoo, Azmel
Husna, Engku Ismail Engku
author_sort Nik-Ahmad-Zuky, Nik Lah
collection PubMed
description BACKGROUND: Placenta accreta is known to be associated with significant maternal morbidity and mortality—primarily due to intractable bleeding during abortion or delivery at any level of gestation. The complications could be reduced if placenta accreta is suspected in a patient with a history of previous cesarean delivery and the gestational sac/placenta is located at the lower part of the uterus. Then, a proper management plan can be instituted, and complications can be reduced. The diagnosis of placenta accreta in the first trimester of pregnancy is considered uncommon. CASE PRESENTATION: A 34-year-old Malay, gravida 4, para 3, rhesus-negative woman was referred from a private hospital at 13 weeks owing to accreta suspicion for further management. She has a history of three previous lower-segment cesarean sections. She also had per vaginal bleeding in the early first trimester, which is considered to indicate threatened miscarriage. Transabdominal ultrasound revealed features consistent with placenta accreta spectrum. She was counseled for open laparotomy and hysterectomy because of potential major complication if she continued with the pregnancy. Histopathological examination revealed placenta increta. CONCLUSION: A high index of suspicion of placenta previa accreta must be in practice in a patient with a history of previous cesarean deliveries and low-lying placenta upon ultrasound examination during early gestation.
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spelling pubmed-84249642021-09-10 Placenta increta presenting with threatened miscarriage during the first trimester in rhesus-negative mother: a case report Nik-Ahmad-Zuky, Nik Lah Seoparjoo, Azmel Husna, Engku Ismail Engku J Med Case Rep Case Report BACKGROUND: Placenta accreta is known to be associated with significant maternal morbidity and mortality—primarily due to intractable bleeding during abortion or delivery at any level of gestation. The complications could be reduced if placenta accreta is suspected in a patient with a history of previous cesarean delivery and the gestational sac/placenta is located at the lower part of the uterus. Then, a proper management plan can be instituted, and complications can be reduced. The diagnosis of placenta accreta in the first trimester of pregnancy is considered uncommon. CASE PRESENTATION: A 34-year-old Malay, gravida 4, para 3, rhesus-negative woman was referred from a private hospital at 13 weeks owing to accreta suspicion for further management. She has a history of three previous lower-segment cesarean sections. She also had per vaginal bleeding in the early first trimester, which is considered to indicate threatened miscarriage. Transabdominal ultrasound revealed features consistent with placenta accreta spectrum. She was counseled for open laparotomy and hysterectomy because of potential major complication if she continued with the pregnancy. Histopathological examination revealed placenta increta. CONCLUSION: A high index of suspicion of placenta previa accreta must be in practice in a patient with a history of previous cesarean deliveries and low-lying placenta upon ultrasound examination during early gestation. BioMed Central 2021-09-08 /pmc/articles/PMC8424964/ /pubmed/34493340 http://dx.doi.org/10.1186/s13256-021-03030-x Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Nik-Ahmad-Zuky, Nik Lah
Seoparjoo, Azmel
Husna, Engku Ismail Engku
Placenta increta presenting with threatened miscarriage during the first trimester in rhesus-negative mother: a case report
title Placenta increta presenting with threatened miscarriage during the first trimester in rhesus-negative mother: a case report
title_full Placenta increta presenting with threatened miscarriage during the first trimester in rhesus-negative mother: a case report
title_fullStr Placenta increta presenting with threatened miscarriage during the first trimester in rhesus-negative mother: a case report
title_full_unstemmed Placenta increta presenting with threatened miscarriage during the first trimester in rhesus-negative mother: a case report
title_short Placenta increta presenting with threatened miscarriage during the first trimester in rhesus-negative mother: a case report
title_sort placenta increta presenting with threatened miscarriage during the first trimester in rhesus-negative mother: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8424964/
https://www.ncbi.nlm.nih.gov/pubmed/34493340
http://dx.doi.org/10.1186/s13256-021-03030-x
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