Placenta Percreta in First Trimester Leading to Disseminated Intravascular Coagulopathy (DIC): A Rare Case Report
Placenta percreta is the most severe form of abnormal placental attachment. It is a variant of placenta accreta in which chorionic villi penetrate the entire thickness of the myometrium through the uterine serosa and may involve the adjacent structures. Literature review shows very few cases encou...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2015-04-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/5794/9338_CE(RA1)_F(T)_PF1(NJAK)_PFA(AK)_PF2(PAG)_(P).pdf |
| Summary: | Placenta percreta is the most severe form of abnormal placental attachment. It is a variant of placenta accreta in which chorionic villi
penetrate the entire thickness of the myometrium through the uterine serosa and may involve the adjacent structures. Literature review
shows very few cases encountered during the first trimester of pregnancy. A-20-year-old woman with previous one cesarean section
presented with continuous vaginal bleeding beginning after incomplete abortion at seven weeks and six days period of gestation for which
she underwent dilatation and curettage. MRI revealed irregular heterogeneous signal intensity mass with large area of hemorrhage in
lower anterior wall extending towards the endometrial cavity suggestive of morbid adherent placenta. Following continuous bleeding after
repeated curettage for retained, adherent placenta her coagulation profile got deranged and DIC developed. Correction of coagulopathy
and emergency hysterectomy as a life saving measure for placenta percreta was done in our case. |
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| ISSN: | 2249-782X 0973-709X |