Cargando…

Retained Placenta Percreta with Acquired Uterine Arteriovenous Malformation—Case Report and Short Review of the Literature

Placenta accreta spectrum disorder (PAS) has an increased frequency due to the high number of cesarean sections. The abnormal placentation associated with a retained placenta can cause persistent uterine bleeding, with ultrasound Doppler examination being the main choice to assess the uterine hemorr...

Descripción completa

Detalles Bibliográficos
Autores principales: Butureanu, Tudor, Balan, Raluca Anca, Socolov, Razvan, Ioanid, Nicolae, Socolov, Demetra, Gafitanu, Dumitru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9029973/
https://www.ncbi.nlm.nih.gov/pubmed/35453952
http://dx.doi.org/10.3390/diagnostics12040904
_version_ 1784692030088151040
author Butureanu, Tudor
Balan, Raluca Anca
Socolov, Razvan
Ioanid, Nicolae
Socolov, Demetra
Gafitanu, Dumitru
author_facet Butureanu, Tudor
Balan, Raluca Anca
Socolov, Razvan
Ioanid, Nicolae
Socolov, Demetra
Gafitanu, Dumitru
author_sort Butureanu, Tudor
collection PubMed
description Placenta accreta spectrum disorder (PAS) has an increased frequency due to the high number of cesarean sections. The abnormal placentation associated with a retained placenta can cause persistent uterine bleeding, with ultrasound Doppler examination being the main choice to assess the uterine hemorrhage. An acquired uterine arteriovenous malformation (AVM) may occur because of uterine trauma, spontaneous abortion, dilation and curettage, endometrial carcinoma or gestational trophoblastic disease. The treatment for abnormal placentation associated with AVM can be conservative, represented by methotrexate therapy, arterial embolization, uterine curettage, hysteroscopic loop resection or radical, which takes into consideration total hysterectomy. Therapeutic management always considers the degree of placental invasion, the patient hemodynamic state and fertility preservation. Considering the aspects described, we present a case of retained placenta percreta associated with acquired uterine AVM, with imagistic and clinical features suggestive of a gestational trophoblastic disease, successfully treated by hysterectomy, along with a small review of the literature, as only a few publications have reported a similar association of diagnostics and therapy.
format Online
Article
Text
id pubmed-9029973
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-90299732022-04-23 Retained Placenta Percreta with Acquired Uterine Arteriovenous Malformation—Case Report and Short Review of the Literature Butureanu, Tudor Balan, Raluca Anca Socolov, Razvan Ioanid, Nicolae Socolov, Demetra Gafitanu, Dumitru Diagnostics (Basel) Case Report Placenta accreta spectrum disorder (PAS) has an increased frequency due to the high number of cesarean sections. The abnormal placentation associated with a retained placenta can cause persistent uterine bleeding, with ultrasound Doppler examination being the main choice to assess the uterine hemorrhage. An acquired uterine arteriovenous malformation (AVM) may occur because of uterine trauma, spontaneous abortion, dilation and curettage, endometrial carcinoma or gestational trophoblastic disease. The treatment for abnormal placentation associated with AVM can be conservative, represented by methotrexate therapy, arterial embolization, uterine curettage, hysteroscopic loop resection or radical, which takes into consideration total hysterectomy. Therapeutic management always considers the degree of placental invasion, the patient hemodynamic state and fertility preservation. Considering the aspects described, we present a case of retained placenta percreta associated with acquired uterine AVM, with imagistic and clinical features suggestive of a gestational trophoblastic disease, successfully treated by hysterectomy, along with a small review of the literature, as only a few publications have reported a similar association of diagnostics and therapy. MDPI 2022-04-05 /pmc/articles/PMC9029973/ /pubmed/35453952 http://dx.doi.org/10.3390/diagnostics12040904 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Butureanu, Tudor
Balan, Raluca Anca
Socolov, Razvan
Ioanid, Nicolae
Socolov, Demetra
Gafitanu, Dumitru
Retained Placenta Percreta with Acquired Uterine Arteriovenous Malformation—Case Report and Short Review of the Literature
title Retained Placenta Percreta with Acquired Uterine Arteriovenous Malformation—Case Report and Short Review of the Literature
title_full Retained Placenta Percreta with Acquired Uterine Arteriovenous Malformation—Case Report and Short Review of the Literature
title_fullStr Retained Placenta Percreta with Acquired Uterine Arteriovenous Malformation—Case Report and Short Review of the Literature
title_full_unstemmed Retained Placenta Percreta with Acquired Uterine Arteriovenous Malformation—Case Report and Short Review of the Literature
title_short Retained Placenta Percreta with Acquired Uterine Arteriovenous Malformation—Case Report and Short Review of the Literature
title_sort retained placenta percreta with acquired uterine arteriovenous malformation—case report and short review of the literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9029973/
https://www.ncbi.nlm.nih.gov/pubmed/35453952
http://dx.doi.org/10.3390/diagnostics12040904
work_keys_str_mv AT butureanutudor retainedplacentapercretawithacquireduterinearteriovenousmalformationcasereportandshortreviewoftheliterature
AT balanralucaanca retainedplacentapercretawithacquireduterinearteriovenousmalformationcasereportandshortreviewoftheliterature
AT socolovrazvan retainedplacentapercretawithacquireduterinearteriovenousmalformationcasereportandshortreviewoftheliterature
AT ioanidnicolae retainedplacentapercretawithacquireduterinearteriovenousmalformationcasereportandshortreviewoftheliterature
AT socolovdemetra retainedplacentapercretawithacquireduterinearteriovenousmalformationcasereportandshortreviewoftheliterature
AT gafitanudumitru retainedplacentapercretawithacquireduterinearteriovenousmalformationcasereportandshortreviewoftheliterature