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Updated: Jun 11, 2025

Accurate and Simple Evaluation of Vascular Anastomoses in Monochorionic Placenta using Colored Dye
Published on: September 5, 2011
Uterine window and placenta accreta spectrum in a dichorionic, diamniotic twin gestation complicated by postpartum
Ishwarya Sivakumar1, Marika Toscano2, Erin Gomez3
1Johns Hopkins University School of Medicine, 733 N Broadway, Baltimore, MD 21231, USA.
Cesarean scar defects encompass a spectrum of separation of the uterine layers that increase risk of uterine rupture during labor and delivery. When coupled with the presence of placenta accreta spectrum, a condition characterized by abnormal adherence to or invasion of the myometrium by the placenta, the risk of life-threatening hemorrhage significantly increases. As rates of cesarean delivery increase, it is important to understand the imaging findings typical of both conditions. We present the case of a 30-year-old patient with a dichorionic, diamniotic twin gestation complicated by uterine window and placenta accreta spectrum.
Cesarean scar defects encompass a spectrum of separation of the uterine layers that increase risk of uterine rupture during labor and delivery. When coupled with the presence of placenta accreta spectrum, a condition characterized by abnormal adherence to or invasion of the myometrium by the placenta, the risk of life-threatening hemorrhage significantly increases. As rates of cesarean delivery increase, it is important to understand the imaging findings typical of both conditions. We present the case of a 30-year-old patient with a dichorionic, diamniotic twin gestation complicated by uterine window and placenta accreta spectrum.
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