Placenta increta after hysteroscopic myomectomy. Obstet Gynecol 2013 Aug;122(2 Pt 2):478-481
Date
07/26/2013Pubmed ID
23884266DOI
10.1097/AOG.0b013e31828aef0aScopus ID
2-s2.0-84880948814 (requires institutional sign-in at Scopus site) 13 CitationsAbstract
BACKGROUND: Most cases of abnormal placentation are associated with a history of one or more cesarean deliveries. Uterine leiomyomas and treatment for such a diagnosis are also risk factors for placenta accreta and should be viewed as such.
CASE: A 34-year-old woman underwent a hysteroscopic myomectomy and became pregnant 6 months later. Ultrasonography and magnetic resonance imaging suggested a placenta percreta. Multidisciplinary care allowed for a safe delivery of her neonate and little maternal morbidity.
CONCLUSION: Patients with a history of hysteroscopic myomectomy or other uterine leiomyoma treatment are at an increased risk for abnormal placentation. Imaging studies are suggested in such patients to coordinate multidisciplinary care to decrease maternal and fetal morbidity and mortality.
Author List
Mathiesen E, Hohenwalter M, Basir Z, Peterson EAuthors
Mark D. Hohenwalter MD Associate Dean, Executive Director, Professor in the Radiology department at Medical College of WisconsinErika Peterson MD Professor in the Obstetrics and Gynecology department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
AdultCesarean Section
Female
Humans
Hysterectomy
Hysteroscopy
Magnetic Resonance Imaging
Patient Care Team
Placenta Accreta
Pregnancy
Ultrasonography
Uterine Myomectomy
