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.
Sonohysterography is a useful tool in the diagnosis of placenta accreta postpartum.
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: firstname.lastname@example.org.
Received November 15, 2001. Received in revised form February 19, 2002. Accepted March 14, 2002.