Placenta previa percreta following caesarean delivery: two case reports
Background: Placenta accreta spectrum (PAS) is a clinical term used to describe the abnormal trophoblast invasion into the myometrium of the uterine wall and may enter into the serosa or even into adjacent organs. It is associated with severe obstetric haemorrhage and often requires emergency hyster...
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| Format: | Article |
| Language: | English |
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IMR Press
2022-03-01
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| Series: | Clinical and Experimental Obstetrics & Gynecology |
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| Online Access: | https://www.imrpress.com/journal/CEOG/49/3/10.31083/j.ceog4903074 |
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| author | Nikolina Penava Dejan Tirić Dragan Soldo Ivona Šutalo Alilović Vajdana Tomić Jelena Sulić |
| author_facet | Nikolina Penava Dejan Tirić Dragan Soldo Ivona Šutalo Alilović Vajdana Tomić Jelena Sulić |
| author_sort | Nikolina Penava |
| collection | DOAJ |
| description | Background: Placenta accreta spectrum (PAS) is a clinical term used to describe the abnormal trophoblast invasion into the myometrium of the uterine wall and may enter into the serosa or even into adjacent organs. It is associated with severe obstetric haemorrhage and often requires emergency hysterectomy, which is one of the foremost causes of maternal morbidity and mortality. The vast of these conditions are seen in women with a history of previous caesarean section and placenta previa. Cases: In this study we present two cases of a rare type of PAS, placenta percreta, in women with a history of previous caesarean section (CS). Both instances were diagnosed prenatally, using the method of ultrasound and magnetic resonance imaging. They were scheduled for deliveries by CS, and both were hysterectomized. These diagnoses were confirmed in histopathological findings. Conclusion: Considering sparse published data and absence of well conducted studies, optimal management is still undefined. Caesarean hysterectomy is still the gold standard treatment for placenta accreta spectrum proposed by many societies as an absolute and final treatment. |
| format | Article |
| id | doaj-art-e835ce0d26434718885196b90e56265d |
| institution | OA Journals |
| issn | 0390-6663 |
| language | English |
| publishDate | 2022-03-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Clinical and Experimental Obstetrics & Gynecology |
| spelling | doaj-art-e835ce0d26434718885196b90e56265d2025-08-20T02:22:15ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632022-03-014937410.31083/j.ceog4903074S0390-6663(22)01725-0Placenta previa percreta following caesarean delivery: two case reportsNikolina Penava0Dejan Tirić1Dragan Soldo2Ivona Šutalo Alilović3Vajdana Tomić4Jelena Sulić5Department of Obstetrics and Gynecology, School of Medicine, University of Mostar, 88000 Mostar, Bosnia and HerzegovinaDepartment of Obstetrics and Gynecology, School of Medicine, University of Mostar, 88000 Mostar, Bosnia and HerzegovinaDepartment of Obstetrics and Gynecology, School of Medicine, University of Mostar, 88000 Mostar, Bosnia and HerzegovinaDepartment of Obstetrics and Gynecology, University Clinical Hospital Mostar, 88000 Mostar, Bosnia and HerzegovinaDepartment of Obstetrics and Gynecology, School of Medicine, University of Mostar, 88000 Mostar, Bosnia and HerzegovinaDepartment of Internal Medicine, School of Medicine, University of Mostar, 88000 Mostar, Bosnia and HerzegovinaBackground: Placenta accreta spectrum (PAS) is a clinical term used to describe the abnormal trophoblast invasion into the myometrium of the uterine wall and may enter into the serosa or even into adjacent organs. It is associated with severe obstetric haemorrhage and often requires emergency hysterectomy, which is one of the foremost causes of maternal morbidity and mortality. The vast of these conditions are seen in women with a history of previous caesarean section and placenta previa. Cases: In this study we present two cases of a rare type of PAS, placenta percreta, in women with a history of previous caesarean section (CS). Both instances were diagnosed prenatally, using the method of ultrasound and magnetic resonance imaging. They were scheduled for deliveries by CS, and both were hysterectomized. These diagnoses were confirmed in histopathological findings. Conclusion: Considering sparse published data and absence of well conducted studies, optimal management is still undefined. Caesarean hysterectomy is still the gold standard treatment for placenta accreta spectrum proposed by many societies as an absolute and final treatment.https://www.imrpress.com/journal/CEOG/49/3/10.31083/j.ceog4903074placenta accreta spectrumplacenta percretacaesarean sectiontotal hysterectomy |
| spellingShingle | Nikolina Penava Dejan Tirić Dragan Soldo Ivona Šutalo Alilović Vajdana Tomić Jelena Sulić Placenta previa percreta following caesarean delivery: two case reports Clinical and Experimental Obstetrics & Gynecology placenta accreta spectrum placenta percreta caesarean section total hysterectomy |
| title | Placenta previa percreta following caesarean delivery: two case reports |
| title_full | Placenta previa percreta following caesarean delivery: two case reports |
| title_fullStr | Placenta previa percreta following caesarean delivery: two case reports |
| title_full_unstemmed | Placenta previa percreta following caesarean delivery: two case reports |
| title_short | Placenta previa percreta following caesarean delivery: two case reports |
| title_sort | placenta previa percreta following caesarean delivery two case reports |
| topic | placenta accreta spectrum placenta percreta caesarean section total hysterectomy |
| url | https://www.imrpress.com/journal/CEOG/49/3/10.31083/j.ceog4903074 |
| work_keys_str_mv | AT nikolinapenava placentapreviapercretafollowingcaesareandeliverytwocasereports AT dejantiric placentapreviapercretafollowingcaesareandeliverytwocasereports AT dragansoldo placentapreviapercretafollowingcaesareandeliverytwocasereports AT ivonasutaloalilovic placentapreviapercretafollowingcaesareandeliverytwocasereports AT vajdanatomic placentapreviapercretafollowingcaesareandeliverytwocasereports AT jelenasulic placentapreviapercretafollowingcaesareandeliverytwocasereports |