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Obstetrics & Gynecology 2002;100:1069-1072
© 2002 by The American College of Obstetricians and Gynecologists
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CASE REPORTS

Placenta Accreta Postpartum

Ginny L. Ryan, MD, Timothy J. Quinn, BS, MBA, Craig H. Syrop, MD and Wendy F. Hansen, MD

Department of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics, University of Iowa, Iowa City, Iowa

Address reprint requests to: Wendy F. Hansen, MD, University of Iowa Hospitals and Clinics, Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, 200 Hawkins Drive, Iowa City, IA 52242-1080; E-mail: wendy-hansen{at}uiowa.edu.

ABSTRACT

BACKGROUND: Placenta accreta is the abnormal attachment of the placenta to the uterus. It occurs when the decidua basalis is either absent or incomplete. It is uncommon and most often presents with a retained placenta and hemorrhage.

CASE: A 29-year-old gravida 1 had an uncomplicated antenatal course and delivery. The third stage of labor was complicated by a retained placenta necessitating manual removal. Her postpartum course was complicated by a persistent endometritis. The diagnosis of placenta accreta was made with the help of sonohysterography.

CONCLUSION: Sonohysterography is a useful tool in discriminating a solid intracavitary mass from a placenta accreta postpartum.






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