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Placenta Increta After Hysteroscopic Myomectomy

Mathiesen, Emily MD; Hohenwalter, Mark MD; Basir, Zainab MD; Peterson, Erika MD

doi: 10.1097/AOG.0b013e31828aef0a
Case Report

BACKGROUND: Most cases of abnormal placentation are associated with a history of one or more cesarean deliveries. Uterine leiomyomas and treatment for such a diagnosis are also risk factors for placenta accreta and should be viewed as such.

CASE: A 34-year-old woman underwent a hysteroscopic myomectomy and became pregnant 6 months later. Ultrasonography and magnetic resonance imaging suggested a placenta percreta. Multidisciplinary care allowed for a safe delivery of her neonate and little maternal morbidity.

CONCLUSION: Patients with a history of hysteroscopic myomectomy or other uterine leiomyoma treatment are at an increased risk for abnormal placentation. Imaging studies are suggested in such patients to coordinate multidisciplinary care to decrease maternal and fetal morbidity and mortality.

Hysteroscopic surgery and other uterine leiomyoma treatments increase the risk for abnormal placentation.

Department of Obstetrics and Gynecology, Medical College of Wisconsin Affiliated Hospitals, and the Maternal Fetal Medicine Department, Department of Radiology, and the Pathology Department, Medical College of Wisconsin, Milwaukee, Wisconsin.

Corresponding author: Emily Mathiesen, MD, PGY-3 resident, Department of Obstetrics and Gynecology, Medical College of Wisconsin, 9200 W Wisconsin Avenue, Milwaukee, WI 53225; e-mail: emathiesen@mcw.edu.

Financial Disclosure The authors did not report any potential conflicts of interest.

© 2013 by The American College of Obstetricians and Gynecologists.