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Placenta percreta invading left broad ligament in a woman with twin pregnancy: A case report
INTRODUCTION: and importance: Placenta percreta is an abnormal of placentation disorder that causes firm and deep attachment of placenta into myometrium due to absent decidua basalis and leads to significant morbidity and mortality due to severe hemorrhage. PRESENTATION OF CASE: A 28-year, old women...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9793151/ https://www.ncbi.nlm.nih.gov/pubmed/36582923 http://dx.doi.org/10.1016/j.amsu.2022.104875 |
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author | Maqbool, Shahzaib Zulqarnain, Iqra Khan, Imran Farhan, Muhammad Noor, Zara Ur Rehman, Mohammad Ebad Bibi, Aimen Basit, Jawad Saeed, Sajeel |
author_facet | Maqbool, Shahzaib Zulqarnain, Iqra Khan, Imran Farhan, Muhammad Noor, Zara Ur Rehman, Mohammad Ebad Bibi, Aimen Basit, Jawad Saeed, Sajeel |
author_sort | Maqbool, Shahzaib |
collection | PubMed |
description | INTRODUCTION: and importance: Placenta percreta is an abnormal of placentation disorder that causes firm and deep attachment of placenta into myometrium due to absent decidua basalis and leads to significant morbidity and mortality due to severe hemorrhage. PRESENTATION OF CASE: A 28-year, old women gravida 2 para 1 + 0 with previous one Lower segment caesarean section (LSCS), presented to emergency department of HFH with complaint of per vaginal bleeding. It was a twin pregnancy and was a rare case of complex placenta percreta with invasion into left broad ligament and urinary bladder in a woman having twin pregnancy. Placental invasion into bladder was diagnosed pre-operatively on USG scan, however; the broad ligament involvement was diagnosed intraoperatively. Patient underwent hysterectomy and internal iliac artery ligation to control hemorrhage soon after delivery of twins with T2 being IUD and patient shifted to ventilatory support but unfortunately due to massive hemorrhage and hemodynamic instability patient did not survive. DISCUSSION: Placenta percreta is a subtype of placenta accreta spectrum disorder that is associated with significant morbidity and mortality depending upon nature and extent of placental invasion. Preoperative diagnosis and management can be of significant value in preventing obstetrics related morbidity. A multidisciplinary approach is required in management of such cases and due to involvement of surrounding structures including urinary bladder. CONCLUSION: Placenta percreta is a rare disorder of placentation that poses significant life-threatening risk of bleeding and maternal mortality and multidisciplinary approach can be of benefit in such cases. |
format | Online Article Text |
id | pubmed-9793151 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-97931512022-12-28 Placenta percreta invading left broad ligament in a woman with twin pregnancy: A case report Maqbool, Shahzaib Zulqarnain, Iqra Khan, Imran Farhan, Muhammad Noor, Zara Ur Rehman, Mohammad Ebad Bibi, Aimen Basit, Jawad Saeed, Sajeel Ann Med Surg (Lond) Case Report INTRODUCTION: and importance: Placenta percreta is an abnormal of placentation disorder that causes firm and deep attachment of placenta into myometrium due to absent decidua basalis and leads to significant morbidity and mortality due to severe hemorrhage. PRESENTATION OF CASE: A 28-year, old women gravida 2 para 1 + 0 with previous one Lower segment caesarean section (LSCS), presented to emergency department of HFH with complaint of per vaginal bleeding. It was a twin pregnancy and was a rare case of complex placenta percreta with invasion into left broad ligament and urinary bladder in a woman having twin pregnancy. Placental invasion into bladder was diagnosed pre-operatively on USG scan, however; the broad ligament involvement was diagnosed intraoperatively. Patient underwent hysterectomy and internal iliac artery ligation to control hemorrhage soon after delivery of twins with T2 being IUD and patient shifted to ventilatory support but unfortunately due to massive hemorrhage and hemodynamic instability patient did not survive. DISCUSSION: Placenta percreta is a subtype of placenta accreta spectrum disorder that is associated with significant morbidity and mortality depending upon nature and extent of placental invasion. Preoperative diagnosis and management can be of significant value in preventing obstetrics related morbidity. A multidisciplinary approach is required in management of such cases and due to involvement of surrounding structures including urinary bladder. CONCLUSION: Placenta percreta is a rare disorder of placentation that poses significant life-threatening risk of bleeding and maternal mortality and multidisciplinary approach can be of benefit in such cases. Elsevier 2022-11-15 /pmc/articles/PMC9793151/ /pubmed/36582923 http://dx.doi.org/10.1016/j.amsu.2022.104875 Text en © 2022 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Maqbool, Shahzaib Zulqarnain, Iqra Khan, Imran Farhan, Muhammad Noor, Zara Ur Rehman, Mohammad Ebad Bibi, Aimen Basit, Jawad Saeed, Sajeel Placenta percreta invading left broad ligament in a woman with twin pregnancy: A case report |
title | Placenta percreta invading left broad ligament in a woman with twin pregnancy: A case report |
title_full | Placenta percreta invading left broad ligament in a woman with twin pregnancy: A case report |
title_fullStr | Placenta percreta invading left broad ligament in a woman with twin pregnancy: A case report |
title_full_unstemmed | Placenta percreta invading left broad ligament in a woman with twin pregnancy: A case report |
title_short | Placenta percreta invading left broad ligament in a woman with twin pregnancy: A case report |
title_sort | placenta percreta invading left broad ligament in a woman with twin pregnancy: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9793151/ https://www.ncbi.nlm.nih.gov/pubmed/36582923 http://dx.doi.org/10.1016/j.amsu.2022.104875 |
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