Out of 54 patients, 39 (72.22%) had placenta accreta, 11 (20.37%) had placenta percreta while 4 (7.4%) had placenta increta
. Obstetric hysterectomy was done in 51 patients while in remaining 3 uterus was preserved.
cesareans scar pregnancy (CSP) and placenta increta
) for patients with positive human chorionic gonadotropin (hCG) combined with imaging evidence such as a cervicoisthmic mass with empty uterus cavity.
Leeca, "MRI of placenta accreta, placenta increta
, and Placenta Percreta: Pearls and Pitfalls," American Journal of Roentgenology, vol.
Among these, eight cases showed MAP at histopathology, namely placenta accreta (n=5), placenta increta
(n=2), and placenta percreta (n=1).
The incidences of placenta diseases such as placenta accreta, placenta increta
, and placenta percreta were significantly higher in the study group (P < 0.05); the difference of placenta previa rate between the two groups was of no significance.
Key Words: Pregnancy, B-Lynch suture, uterine artery ligation, Placenta increta
In cases of irreparable uterine rupture or placenta increta
or percreta (placenta that has invaded into the myometrium and/or beyond) it is necessary to proceed immediately to subtotal hysterectomy without attempting conservative measures.
Result: During this period total eight patients underwent BIAL, three for PPH due to atony, two for placenta praevia and one each for placenta increta
, ruptured uterus and coagulopathy.
(7) Placenta increta
is a variant that involves the extension of the chorionic villi into the muscle of the uterine wall and occurs in 17% of cases.
A historical cohort study of 433 patients with placenta previa who underwent ultrasound showed that this screening modality accurately predicted placenta accreta (which for the purposes of this study also included placenta increta
and percreta) in 25 of the 32 women Whose diagnosis was confirmed by pathologic examination, for a sensitivity of 0.78.
(9) reported that fetal DNA could be detected for 10 weeks after delivery in a case of placenta increta
. It has also been reported that fetal DNA clearance from maternal plasma is impaired in preeclampsia (10).
My obstetrician came and told me I had a placenta increta
, and conservative measures had failed to control the bleeding.
Magnetic resonance imaging and Doppler sonography can be used for the prenatal diagnosis of placenta increta
. However, the diagnostic value of sonography in prenatal diagnosis of an asymptomatic placenta increta
An ultrasound performed immediately postabortion revealed only a 3 cm isthmic and echoic image suggestive of a retained placenta increta
The placenta then invades the deep myometrial layer of the uterus making it placenta increta
. If the placenta penetrates the wall of the uterus, reaches the uterus's serosa, and invades the adjacent organs, it is called placenta percreta .