Haemorrhage in early pregnancy: unusual presentation of placenta increta as complete mole

Authors

  • Priyanka B. Varwatte Department of Obstetrics and Gynecology, LTMMC and GH, Sion, Mumbai, Maharashtra, India
  • Michelle Fonseca Department of Obstetrics and Gynecology, LTMMC and GH, Sion, Mumbai, Maharashtra, India
  • Deepali Kharat Department of Obstetrics and Gynecology, LTMMC and GH, Sion, Mumbai, Maharashtra, India
  • Jyotsna Dwivedi Department of Obstetrics and Gynecology, LTMMC and GH, Sion, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20174477

Keywords:

Complete mole, Haemorrhage, Placenta increta

Abstract

We report a case of haemorrhage in early pregnancy following suction evacuation for a complete hydatidiform mole which later turned out to be case of placenta increta. Morbidly adherent placenta in early pregnancy a is rare event. There are few reported cases of obstetric hysterectomy in early pregnancy due to undiagnosed morbidly adherent placenta.

Author Biographies

Priyanka B. Varwatte, Department of Obstetrics and Gynecology, LTMMC and GH, Sion, Mumbai, Maharashtra, India

obstetrics and gynocology

Michelle Fonseca, Department of Obstetrics and Gynecology, LTMMC and GH, Sion, Mumbai, Maharashtra, India

SENIOR MEDICAL OFFICER

Deepali Kharat, Department of Obstetrics and Gynecology, LTMMC and GH, Sion, Mumbai, Maharashtra, India

ASSISTANT PROFESSOR

Jyotsna Dwivedi, Department of Obstetrics and Gynecology, LTMMC and GH, Sion, Mumbai, Maharashtra, India

HEAD OF UNIT

References

Gherman RB, McBrayer S, Tichenor J, Wing DA. Placenta increta complicating first-trimester D and C. Obstet Gynecol. 1999 May;93(5 Pt 2):845.

Sherer DM, Gorelick C, Zigalo A, Sclafani S, Zinn HL, Abulafia O. Placenta previa percreta managed conservatively with methotrexate and multiple bilateral uterine artery embolizations. Ultrasound Obstet Gynecol. 2007 Aug;30(2):227-8.

Kayem G, Davy C, Goffinet F, Thomas C, Clément D, Cabrol D. Conservative versus extirpative management in cases of placenta accreta. Obstet Gynecol. 2004 Sep;104(3):531-6.

Grobman WA, Gersnoviez R, Landon MB, Spong CY, Leveno KJ, Rouse DJ, Varner MW, Moawad AH, Caritis SN, Harper M, Wapner RJ. Pregnancy outcomes for women with placenta previa in relation to the number of prior cesarean deliveries. Obstet Gynecol. 2007 Dec 1;110(6):1249-55.

Buetow MP. Sonography of placenta percreta during the first trimester. Am J Roentgenol. 2002 Aug;179(2):535-.

Höpker M, Fleckenstein G, Heyl W, Sattler B, Emons G. Placenta percreta in week 10 of pregnancy with consecutive hysterectomy: case report. Human Reprod. 2002 Mar 1;17(3):817-20.

Comstock CH, Lee W, Vettraino IM, Bronsteen RA. The early sonographic appearance of placenta accreta. J Ultrasound Med. 2003 Jan 1;22(1):19-23.

Ben Nagi J, Ofili-Yebovi D, Marsh M, Jurkovic D. First‐trimester cesarean scar pregnancy evolving into placenta previa/accreta at term. J Ultrasound Med. 2005 Nov 1;24(11):1569-73.

Yang JI, Kim HY, Kim HS, Ryu HS. Diagnosis in the first trimester of placenta accreta with previous cesarean section. Ultrasound Obstet Gynecol. 2009 Jul 1;34(1):116-8.

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Published

2017-09-23

Issue

Section

Case Reports