A near miss case of placenta percreta at primary care: A case report
More details
Hide details
Department of Family Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, MALAYSIA
School of Dental Sciences, Universiti Sains Malaysia, Kelantan, MALAYSIA
Online publication date: 2022-12-08
Publication date: 2023-01-01
Electron J Gen Med 2023;20(1):em438
We present a case of severe placenta percreta in a 33-year-old woman, gravida 9 para5+3, who presented to the health clinic with gross hematuria for three days at 16 weeks gestation. She had a history of multiple cesarean deliveries and uterine curettage. The diagnosis was suspected, and an urgent referral was made. Ultrasonography findings done by an obstetrician in a tertiary hospital confirmed the diagnosis. Unfortunately, the pregnancy had to be terminated as her condition deteriorated. Primary care practitioners should have high clinical suspicion to recognize this rare and life-threatening condition.
Silver RM, Barbour KD. Placenta accreta spectrum: Accrete, increta, and percreta. Obstet Gynecol Clin North Am. 2015;42(2):381-402. PMid:26002174.
Jauniaux E, Chantraine F, Silver RM, Langhoff-Roos J. FIGO Placenta Accreta Diagnosis and Management Expert Consensus Panel. FIGO consensus guidelines on placenta accreta spectrum disorders: Epidemiology. Int J Gynecol Obstet. 2018;140(3):265-73. PMid:29405321.
Zhao H, Zhao X, Liu C, Tao Y, Zhou Y. Bladder bleeding due to placenta percreta: Report of four cases and management discussion. Matern-Fetal Med. 2021;3(4):285-91.
Tillu N, Savalia A, Patwardhan S, Patil B. Placenta percreta with bladder invasion: The armamentarium available in its management. Urol Ann. 2019;11(3):324-7. PMid:31413516 PMCid:PMC6676855.
Chavan N, Mirza H, Venkateswaran S, Changede P. Placenta percreta: A rare presentation of obstetric emergency in second trimester. Int J Reprod Contracept Obstet Gynecol. 2020;9(10):4295-9.
Wang Y-L, Weng S-S, Huang W-C. First-trimester abortion complicated with placenta accreta: A systematic review. Taiwan J Obstet Gynecol. 2019;58(1):10-4. PMid:30638461.
Koukoura O, Lialios G, Garas A, et al. Macroscopic hematuria due to placenta percreta: Report of two cases and short review. Case Rep Obstet Gynecol. 2017;2017:9863792. PMid:28698813 PMCid:PMC5494060.
De Gennaro E, Orsaria M, Driul L. Placenta accreta in the first trimester: A case report. Clin Case Rep. 2021;9(9):e04615. PMid:34512978 PMCid:PMC8423128.
Sahin E, Madendag Y, Eraslan Sahin M, Col Madendag I, Kirlangic MM. Evaluation of the diagnostic accuracy of a combination of first-trimester ultrasound and maternal demographic characteristics for detecting abnormally invasive placenta. Eur J Obstet Gynecol Reprod Biol. 2022;268:1-6. PMid:34788719.
Atallah D, Abou Zeid H, Moubarak M, Moussa M, Nassif N, Jebara V. “You only live twice”: Multidisciplinary management of catastrophic case in placenta Accreta Spectrum-a case report. BMC Pregnancy Childbirth. 2020;20(1):135. PMid:32111175 PMCid:PMC7048027.
Ou J, Peng P, Teng L, Li C, Liu X. Management of patients with placenta accreta spectrum disorders who underwent pregnancy terminations in the second trimester: A retrospective study. Eur J Obstet Gynecol Reprod Biol. 2019;242(11):109-113. PMid:31580962.
Journals System - logo
Scroll to top