Unexpected Dramatic Evolution of Placenta Increta: Case Report and Literature Review
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TÎRNOVANU, Mihaela Camelia, TÎRNOVANU, Vlad Gabriel, TOMA, Bogdan, TOMA, Loredana, ŢARCĂ, Elena, STĂTESCU, Laura, TÎRNOVANU, Ștefan Dragoș, UNGUREANU, CarmenTamara, TRANDAFIRESCU, Mioara, BERNIC, Jana, COJOCARU, Elena. Unexpected Dramatic Evolution of Placenta Increta: Case Report and Literature Review. In: Journal of Personalized Medicine, 2023, vol. 13, p. 0. ISSN -. DOI: https://doi.org/10.3390/jpm13111563
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Journal of Personalized Medicine
Volumul 13 / 2023 / ISSN - /ISSNe 2075-4426

Unexpected Dramatic Evolution of Placenta Increta: Case Report and Literature Review

DOI:https://doi.org/10.3390/jpm13111563

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Tîrnovanu Mihaela Camelia12, Tîrnovanu Vlad Gabriel1, Toma Bogdan12, Toma Loredana21, Ţarcă Elena1, Stătescu Laura1, Tîrnovanu Ștefan Dragoș, Ungureanu CarmenTamara1, Trandafirescu Mioara1, Bernic Jana3, Cojocaru Elena1
 
1 University of Medicine and Pharmacy “Grigore T. Popa”, Iasi,
2 Clinical Hospital of Obstetrics and Gynecology "Cuza Vodă", Iasi,
3 ”Nicolae Testemițanu” State University of Medicine and Pharmacy
 
 
Disponibil în IBN: 17 decembrie 2023


Rezumat

Placental morbid adherence is a known risk factor for postpartum hemorrhage. The incidence of abnormal placental attachment has been increasing over the past few decades, mainly due to rising rates of cesarean deliveries, advanced maternal age, and the use of assisted reproductive technologies. Cesarean section is a significant risk factor for placenta increta, as it disrupts the normal architecture of the uterine wall, making it more difficult for the placenta to detach after delivery. We present the case of a woman who underwent a cesarean section at 28 weeks due to anterior placenta previa, accompanied by hemorrhage and rupture of membranes. Following the delivery, she experienced normal postoperative bleeding and was discharged home after five days. However, six weeks later, she presented with heavy bleeding, leading to the decision to perform a total hysterectomy. The levels of HCG were found to be low. The pathological examination of the specimens confirmed a diagnosis of placenta increta, as it revealed notable placental proliferation, necrotic villi, and placental invasion near the uterine serosa. Notably, we did not find any similar cases documented in the literature. Patients experiencing prolonged vaginal bleeding after childbirth and diagnosed with placenta accreta should be closely monitored through ultrasound examinations; abnormal proliferation of the placenta can occur, and prompt detection is crucial for appropriate management. 

Cuvinte-cheie
adult, article, brain blood flow, case report, cervical canal, cesarean section, chorioamnionitis, choriocarcinoma, clinical article, curettage, echography, enhanced recovery after surgery, evolution, female, first trimester pregnancy, follow up, hemostasis, human, human cell, human tissue, hysterectomy, incidence, inflammation, leukocyte count, maternal age, myometrial fiber, myometrium, necrotic villi, nuclear magnetic resonance imaging, PAS grading, pathological anatomy, placenta increta, placenta previa, placenta tissue, placental invasion, placental proliferation, postoperative period, postpartum hemorrhage, premature rupture of membranes, risk factor, transplacental extraction, trophoblast, ultrasound, uterine mass, uterine serosa, uterus rupture, vagina bleeding