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Placenta Previa et Percreta: A Potentially Life-Threatening Condition

Placenta percreta occurs in about 5% of placenta accreta spectrum (PAS) and causes high maternal and fetal peripartum morbidity/mortality. A 34-year-old multiparous 4G2P (1xcesarean section (CS)) was admitted to hospital at the 34th week of gestation. Transvaginal ultrasound revealed a placenta prev...

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Autores principales: Bachmann, Cornelia, Abele, Harald, Hoopmann, Markus
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914632/
https://www.ncbi.nlm.nih.gov/pubmed/36766644
http://dx.doi.org/10.3390/diagnostics13030539
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author Bachmann, Cornelia
Abele, Harald
Hoopmann, Markus
author_facet Bachmann, Cornelia
Abele, Harald
Hoopmann, Markus
author_sort Bachmann, Cornelia
collection PubMed
description Placenta percreta occurs in about 5% of placenta accreta spectrum (PAS) and causes high maternal and fetal peripartum morbidity/mortality. A 34-year-old multiparous 4G2P (1xcesarean section (CS)) was admitted to hospital at the 34th week of gestation. Transvaginal ultrasound revealed a placenta previa totalis et percreta with a small tissue layer towards the bladder. Ultrasound was crucial for further planning. An interdisciplinary setting was established based on this life-threatening diagnosis. Due to the onset of labor one day later, a CS was performed. Intraoperatively, the suspicion was confirmed of a placenta previa et percreta with CS scar infiltration. Due to the life-threatening bleeding risk, simultaneous subtotal hysterectomy was needed. The diagnosis was confirmed histologically. The higher the number of previous CS, the higher the PASrate. Placenta percreta is the most severe form of this, characterized by placental invasion through the entirety of the myometrium and possibly into extrauterine tissues. This case demonstrates the great importance of prenatal diagnosis with the realization of dimensions of this very rare finding, especially with an increasing CS rate and other associated complications. Due to the close interdisciplinary cooperation of the prenatal diagnosticians, obstetricians, and anesthesiologists with optimal care in a specialized center, the otherwise high morbidity/mortality can be minimized.
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spelling pubmed-99146322023-02-11 Placenta Previa et Percreta: A Potentially Life-Threatening Condition Bachmann, Cornelia Abele, Harald Hoopmann, Markus Diagnostics (Basel) Interesting Images Placenta percreta occurs in about 5% of placenta accreta spectrum (PAS) and causes high maternal and fetal peripartum morbidity/mortality. A 34-year-old multiparous 4G2P (1xcesarean section (CS)) was admitted to hospital at the 34th week of gestation. Transvaginal ultrasound revealed a placenta previa totalis et percreta with a small tissue layer towards the bladder. Ultrasound was crucial for further planning. An interdisciplinary setting was established based on this life-threatening diagnosis. Due to the onset of labor one day later, a CS was performed. Intraoperatively, the suspicion was confirmed of a placenta previa et percreta with CS scar infiltration. Due to the life-threatening bleeding risk, simultaneous subtotal hysterectomy was needed. The diagnosis was confirmed histologically. The higher the number of previous CS, the higher the PASrate. Placenta percreta is the most severe form of this, characterized by placental invasion through the entirety of the myometrium and possibly into extrauterine tissues. This case demonstrates the great importance of prenatal diagnosis with the realization of dimensions of this very rare finding, especially with an increasing CS rate and other associated complications. Due to the close interdisciplinary cooperation of the prenatal diagnosticians, obstetricians, and anesthesiologists with optimal care in a specialized center, the otherwise high morbidity/mortality can be minimized. MDPI 2023-02-01 /pmc/articles/PMC9914632/ /pubmed/36766644 http://dx.doi.org/10.3390/diagnostics13030539 Text en © 2023 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 Interesting Images
Bachmann, Cornelia
Abele, Harald
Hoopmann, Markus
Placenta Previa et Percreta: A Potentially Life-Threatening Condition
title Placenta Previa et Percreta: A Potentially Life-Threatening Condition
title_full Placenta Previa et Percreta: A Potentially Life-Threatening Condition
title_fullStr Placenta Previa et Percreta: A Potentially Life-Threatening Condition
title_full_unstemmed Placenta Previa et Percreta: A Potentially Life-Threatening Condition
title_short Placenta Previa et Percreta: A Potentially Life-Threatening Condition
title_sort placenta previa et percreta: a potentially life-threatening condition
topic Interesting Images
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914632/
https://www.ncbi.nlm.nih.gov/pubmed/36766644
http://dx.doi.org/10.3390/diagnostics13030539
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