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Lifesaving diagnosis of placenta accreta spectrum using MRI: Report of five cases()

Placenta accreta spectrum (PAS) is defined as abnormal placental adherence or invasion of the myometrium or extrauterine organs. This case series will analyze MRI findings and PAS grading, in addition to emergency situations like massive hematuria and placental invasion with rupture. We report 5 cas...

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Autores principales: Koesmarsono, Belinda, Aryananda, Rozi Aditya, Ariani, Grace, Mardiyana, Lies
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8965773/
https://www.ncbi.nlm.nih.gov/pubmed/35369546
http://dx.doi.org/10.1016/j.radcr.2022.03.014
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author Koesmarsono, Belinda
Aryananda, Rozi Aditya
Ariani, Grace
Mardiyana, Lies
author_facet Koesmarsono, Belinda
Aryananda, Rozi Aditya
Ariani, Grace
Mardiyana, Lies
author_sort Koesmarsono, Belinda
collection PubMed
description Placenta accreta spectrum (PAS) is defined as abnormal placental adherence or invasion of the myometrium or extrauterine organs. This case series will analyze MRI findings and PAS grading, in addition to emergency situations like massive hematuria and placental invasion with rupture. We report 5 cases of pregnant women with placenta previa with suspected PAS. MRI revealed 1 case of placenta accreta, one case of placenta increta, and 3 cases of placenta percreta. Two cases were emergency situations. All cases were managed with cesarean section. PAS is frequently related to severe obstetric hemorrhage associated with high maternal morbidity and mortality, making diagnosis and management challenging. Ultrasound is the initial diagnostic modality for PAS. Although ultrasound is preferred for PAS diagnosis, MRI provides an effective modality for the analysis of the depth of placental invasion and can be helpful in emergency situations.
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spelling pubmed-89657732022-03-31 Lifesaving diagnosis of placenta accreta spectrum using MRI: Report of five cases() Koesmarsono, Belinda Aryananda, Rozi Aditya Ariani, Grace Mardiyana, Lies Radiol Case Rep Case Report Placenta accreta spectrum (PAS) is defined as abnormal placental adherence or invasion of the myometrium or extrauterine organs. This case series will analyze MRI findings and PAS grading, in addition to emergency situations like massive hematuria and placental invasion with rupture. We report 5 cases of pregnant women with placenta previa with suspected PAS. MRI revealed 1 case of placenta accreta, one case of placenta increta, and 3 cases of placenta percreta. Two cases were emergency situations. All cases were managed with cesarean section. PAS is frequently related to severe obstetric hemorrhage associated with high maternal morbidity and mortality, making diagnosis and management challenging. Ultrasound is the initial diagnostic modality for PAS. Although ultrasound is preferred for PAS diagnosis, MRI provides an effective modality for the analysis of the depth of placental invasion and can be helpful in emergency situations. Elsevier 2022-03-27 /pmc/articles/PMC8965773/ /pubmed/35369546 http://dx.doi.org/10.1016/j.radcr.2022.03.014 Text en © 2022 The Authors. Published by Elsevier Inc. on behalf of University of Washington. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Koesmarsono, Belinda
Aryananda, Rozi Aditya
Ariani, Grace
Mardiyana, Lies
Lifesaving diagnosis of placenta accreta spectrum using MRI: Report of five cases()
title Lifesaving diagnosis of placenta accreta spectrum using MRI: Report of five cases()
title_full Lifesaving diagnosis of placenta accreta spectrum using MRI: Report of five cases()
title_fullStr Lifesaving diagnosis of placenta accreta spectrum using MRI: Report of five cases()
title_full_unstemmed Lifesaving diagnosis of placenta accreta spectrum using MRI: Report of five cases()
title_short Lifesaving diagnosis of placenta accreta spectrum using MRI: Report of five cases()
title_sort lifesaving diagnosis of placenta accreta spectrum using mri: report of five cases()
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8965773/
https://www.ncbi.nlm.nih.gov/pubmed/35369546
http://dx.doi.org/10.1016/j.radcr.2022.03.014
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