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Mouse Model of Surgical Uterine Injury and Subsequent Pregnancy Outcomes
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Placenta accreta in the first trimester: A case report.

Elena De Gennaro1, Maria Orsaria2, Lorenza Driul1

  • 1Clinic of Obstetrics and Gynecology Hospital of Udine DAME University of Udine Udine Italy.

Clinical Case Reports
|September 13, 2021
PubMed
Summary

Early detection of placenta accreta, a severe pregnancy complication, is crucial. This case highlights first-trimester sonographic and histological findings, suggesting potential for earlier diagnosis and reduced hemorrhage risk.

Keywords:
abortionfirst‐trimesterhemorrhagemiscarriageplacenta accreta

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Diagnostic Imaging

Background:

  • Placenta accreta is a significant obstetric complication associated with severe hemorrhage.
  • Current diagnostic guidelines primarily focus on the second trimester.
  • Lack of established first-trimester diagnostic criteria poses a challenge for early intervention.

Observation:

  • A case of placenta accreta was identified during the first trimester of pregnancy.
  • Sonographic features suggestive of accreta were observed.
  • Histological examination confirmed the diagnosis of placenta accreta.

Findings:

  • This case demonstrates the possibility of diagnosing placenta accreta in the first trimester.
  • Specific sonographic markers may indicate early-onset placenta accreta.
  • Histological findings correlated with the early sonographic observations.

Implications:

  • Earlier detection of placenta accreta could lead to timely management strategies.
  • Implementing first-trimester screening may reduce risks of hemorrhage during pregnancy termination or miscarriage.
  • Further research into first-trimester diagnostic criteria for placenta accreta is warranted.