DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20162155

Successful management of a rare case of placenta percreta

Aarushi Chaudhary, Sarvottma Antil

Abstract


Placenta accrete syndromes describe abnormally implanted, invasive or adhered placenta. Placenta percreta defines villi that penetrate through the myometrium and to or through the serosa. This abnormal placental in growth is identified, antepartum, by sonography. MR imaging can be used as an adjunct to sonography to define anatomy, degree of invasion, and possible ureteral or bladder involvement. A major decision concerns ideal institution for delivery. Planned delivery in a tertiary care facility is recommended. Timely antenatal diagnosis, plan and management can help prevent maternal morbidity and mortality.

Keywords


Placenta, Percreata, Diagnosis, Syndromes

Full Text:

PDF

References


Satija B, Kumar S, Wadhwa L, Gupta T, Kohli S, Chandoke R, et al. Utility of USG+MRI in prenatal diagnosis of placenta accreta: a prospective study. Indian J of Radiol Imaging. 2015;25(4):464-70.

Silver RM, Barbour KD. Placenta accreta spectrum: accreta, increta and percreta. Obstet Gynecol Clin North Am. 2015;42(2):381-412.

Litwin MS, Loughlin KR, Benson CB, Droege GF, Richia JP. Placenta percreta invading the urinary bladder. Br J Urol. 1989;64(3):283-6.

Norris BL, Everaerts W, Posma E, Murphy DG, Umstad MP, Costello AJ. The urologist's role in multidisciplinary management of placenta percreta. BJU Int. 2016;117(6):961-5.

Fitzpatrick KE, Sellers S, Spark P, Kurinczuk JJ, Brocklehurst P, Knight M. Incidence and risk factors for placenta accreta/increta/percreta in UK: a national case control study. PloS One. 2012;7(12):e52893.

Tórrez-Morales F, Briones-Garduño JC. Placenta percreta with bladder and rectum invasion. Cir Cir. 2016;pii:S0009-7411(15)00265-0.

Konijeti R, Rajfer J, Askari A. Placenta percreta and the urologist. Rev Urol. 2009;11(3):173-6.

Wu S, Kocherginsky M, Hibbard JU. Abnormal placentation: twenty-year analysis. Am J Obstet Gynecol. 2005:192:1458-61.