Placenta Accreta |
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| Authors: | Amal Al-Serehi MD Anna Mhoyan MD Michelle Brown MD Kurt Benirschke MD Andrew Hull MD Dolores H. Pretorius MD |
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| Affiliation: | 1. Department of Maternal-Fetal Medicine, University of Ottawa, Ottawa Hospital, Ottawa, Ontario, Canada;2. Department of Pathology, Kaiser Permanente, San Diego, California USA;3. Department of Radiology, University of California, San Diego, La Jolla, California USA.;4. Department of Pathology, University of California, San Diego, La Jolla, California USA.;5. Department of Reproductive Medicine, University of California, San Diego, La Jolla, California USA. |
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| Abstract: | Objective. Placenta accreta is a life‐threatening problem that is rising in incidence in the developed world. The increased risk of placenta accreta in women with placenta previa and 1 or more prior cesarean deliveries is well established and prompts careful sonographic evaluation. Our objective was to emphasize that accreta is also identified at sites other than cesarean scars. Methods. Two cases of placenta accreta without placenta previa seen in association with uterine scarring from myomectomy and uterine fibroids are described. Results. The sonographic and magnetic resonance imaging findings of accreta are reviewed in the classic setting of prior cesarean deliveries as well as myomectomy and uterine fibroids. Conclusions. We suggest that when the placenta overlies any uterine abnormality, a careful search for invasive placentation is warranted. |
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| Keywords: | accreta sonography, fibroids sonography, placenta |
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