, mimicking gestational trophoblastic disease and cesarean scar pregnancy, diagnosed eleven months after delivery: A case report.
Uterine bulging and tenting of the bladder signs were both present in cases of deeper placental invasion (placenta increta
and percreta; 3/8 of abnormal cases; Table 2), but the degree of deep infiltrative disease could not be always easily assessed, as also reported in other studies (15).
Placenta and fetus suffered the most, leading to placentalderived pregnancy-related complications, such as late-onset PE, oligohydramnios, early-onset FGR, late abortion, placenta accreta, placenta increta
, and placenta percreta.
We applied B-Lynch brace suturing to the uterus after bilateral uterine artery ligation to control bleeding from the placental bed in case of placenta increta
. Placenta increta
is defined as an abnormal adherence, either in whole or in part, of the afterbirth to the underlying uterine wall.
Occasionally with a placenta increta
which fails to separate from the uterine wall after administration of oxytocin and in the absence of any bleeding, it is best not to attempt placental removal at all, but rather to leave it in situ and await spontaneous expulsion.
One patient had placenta increta
, one had traumatic PPH and one placenta previa case also developed coagulopathy.
(2) Uterine rupture is especially common in cases of placenta increta
(9) also reported that, in the case of placenta increta
, fetal DNA could be detected in maternal plasma for a longer period after delivery than [beta]-hCG, but in our study molar DNA became undetectable earlier than [beta]-hCG.
Lower uterine segment pregnancy with placenta increta
complicating first trimester induced abortion: diagnosis and conservative management.
Accordingly, a laparotomy was decided to resect this sac along with the redundant placenta increta
fragment and repair, if possible, this fragile zone.
This usually happens in well documented high risk cases, like abnormal placental location and attachment to uterine wall (placenta previa, placenta accreta, and placenta increta
), lesser experience and expertise of obstetricians, preeclampsia, HELPP syndrome, repeat caesarean sections, uterine anomalies and uterine or cervical tears9.