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Placenta percreta diagnosed after first-trimester pregnancy termination: a case report
Petek Balkanli-Kaplan1, Fatih Gucer, Fulya Oz-Puyan
1Department of Obstetrics and Gynecology, Medical Faculty, Trakya University, 22030 Edirne, Turkey. petekkaplan@hotmail.com
The Journal of Reproductive Medicine
|September 14, 2006
Summary
This case report details placenta percreta diagnosed long after pregnancy termination in a patient with a prior cesarean section. It highlights the importance of considering this rare condition in persistent postpartum bleeding.
Area of Science:
- Reproductive Medicine
- Gynecology
- Obstetrics
Background:
- Placenta percreta is a rare obstetric complication.
- Diagnosis typically occurs during pregnancy, with few cases reported in early gestation.
Observation:
- A woman with a history of cesarean section experienced heavy vaginal bleeding post-pregnancy termination.
- Symptoms persisted despite hormonal therapy and curettage, leading to hysterectomy.
Findings:
- Histological examination confirmed placenta percreta.
- This is the first reported instance of diagnosis after a significant delay post-termination.
Implications:
- Clinicians should suspect placenta percreta in patients with a history of uterine surgery (uterotomy scar).
- Persistent abnormal uterine bleeding after pregnancy termination warrants thorough investigation for rare causes like placenta percreta.
