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...
Autores principales: | , , , , , |
---|---|
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 |