A rare case of first-trimester placenta increta in an unscarred uterus: Diagnostic and management strategies
- Author:
Stephanie F. Locsin
1
;
Carmencita B. Tongco
1
Author Information
- Publication Type:Case Reports
- Keywords: Abortion; Color Doppler; Early pregnancy; Placenta accreta; Ultrasound
- MeSH: Pregnancy; Placenta Accreta; Ultrasonography, Doppler, Color
- From: Philippine Journal of Obstetrics and Gynecology 2021;45(2):82-86
- CountryPhilippines
- Language:English
- Abstract: Placenta accreta syndrome (PAS) is rare in first-trimester abortions with an unscarred uterus. It is this rarity that makes diagnosis and management difficult and challenging. This is a case report of a multigravid with an early incomplete abortion complicated by PAS (placenta increta) manifesting as an ill-defined hypervascular uterine cavity mass on transvaginal ultrasound, with decreasing trends of serum beta-human chorionic gonadotropin. PAS was successfully diagnosed preoperatively, and an uneventful hysterectomy was performed. A curettage that could potentially lead to catastrophic hemorrhage was prevented. This case highlights the diagnostic dilemma in early trimester PAS, the importance of early accurate diagnosis, and a good correlation with ancillary diagnostics to provide prompt and appropriate management.
- Full text:PhilippJObstetGynecol45282-2357663_063256.pdf
