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Placenta accreta associated with submucosal fibroid polyp.

¹JIPMER, Puducherry, India. dasaripapa@gmail.com

BMJ Case Reports

|June 21, 2012

Summary

A pregnant woman with a uterine fibroid developed severe pre-eclampsia and placenta accreta. Early diagnosis and management were crucial for the survival of both mother and preterm infant.

Area of Science:

Obstetrics and Gynecology
Maternal-Fetal Medicine
Reproductive Endocrinology

Background:

Submucosal uterine fibroids can complicate pregnancy.
Placental implantation on fibroids poses risks.
Pre-eclampsia is a serious pregnancy complication.

Observation:

A 35-year-old woman with a posterior wall fibroid conceived spontaneously.
Placental implantation occurred over the fibroid.
Severe pre-eclampsia with pulmonary edema developed at 32 weeks.

Findings:

Pregnancy terminated at 33+4 weeks via cesarean section due to severe pre-eclampsia.
Placenta accreta was diagnosed histopathologically, adherent to a pedunculated fibroid polyp.
The preterm infant survived.

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Implications:

Uterine fibroids may increase the risk of placenta accreta and severe pre-eclampsia.
Careful monitoring is essential for pregnancies with fibroids and placental abnormalities.
Timely intervention is critical for favorable maternal and fetal outcomes.