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...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2015-04-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/5794/9338_CE(RA1)_F(T)_PF1(NJAK)_PFA(AK)_PF2(PAG)_(P).pdf |
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| author | Charu Lata Bansal Jyotsana Gupta Deepti Asthana Ankit Kayal |
| author_facet | Charu Lata Bansal Jyotsana Gupta Deepti Asthana Ankit Kayal |
| author_sort | Charu Lata Bansal |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-17T03:08:28Z |
| format | Article |
| id | doaj.art-1d21400306eb49089650d83670102401 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-17T03:08:28Z |
| publishDate | 2015-04-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-1d21400306eb49089650d836701024012022-12-21T22:05:53ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2015-04-0194QD03QD0410.7860/JCDR/2015/9338.5794Placenta Percreta in First Trimester Leading to Disseminated Intravascular Coagulopathy (DIC): A Rare Case ReportCharu Lata Bansal0Jyotsana Gupta1Deepti Asthana2Ankit Kayal3Senior Resident, Department of Obstetrics and Gynecology, Gangauri Hospital, Sms Medical College, Jaipur, India.Senior Resident, Department of Obstetrics and Gynecology, Guru Teg Bahadur Hospital, UCMS, Delhi, India.Senior Resident, Department of Obstetrics and Gynecology, Gangauri Hospital, Sms Medical College, Jaipur, India. Senior Resident, Department of Transplant Surgery, Sms Medical College, Jaipur, India.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.https://jcdr.net/articles/PDF/5794/9338_CE(RA1)_F(T)_PF1(NJAK)_PFA(AK)_PF2(PAG)_(P).pdfdilatation and curettagehysterectomy |
| spellingShingle | Charu Lata Bansal Jyotsana Gupta Deepti Asthana Ankit Kayal Placenta Percreta in First Trimester Leading to Disseminated Intravascular Coagulopathy (DIC): A Rare Case Report Journal of Clinical and Diagnostic Research dilatation and curettage hysterectomy |
| title | Placenta Percreta in First Trimester Leading to Disseminated Intravascular Coagulopathy (DIC): A Rare Case Report |
| title_full | Placenta Percreta in First Trimester Leading to Disseminated Intravascular Coagulopathy (DIC): A Rare Case Report |
| title_fullStr | Placenta Percreta in First Trimester Leading to Disseminated Intravascular Coagulopathy (DIC): A Rare Case Report |
| title_full_unstemmed | Placenta Percreta in First Trimester Leading to Disseminated Intravascular Coagulopathy (DIC): A Rare Case Report |
| title_short | Placenta Percreta in First Trimester Leading to Disseminated Intravascular Coagulopathy (DIC): A Rare Case Report |
| title_sort | placenta percreta in first trimester leading to disseminated intravascular coagulopathy dic a rare case report |
| topic | dilatation and curettage hysterectomy |
| url | https://jcdr.net/articles/PDF/5794/9338_CE(RA1)_F(T)_PF1(NJAK)_PFA(AK)_PF2(PAG)_(P).pdf |
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