• Obstetrics and gynecology · Nov 2002

    Case Reports

    Placenta accreta postpartum.

    • Ginny L Ryan, Timothy J Quinn, Craig H Syrop, and Wendy F Hansen.
    • Department of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics, University of Iowa, Iowa City, Iowa 52242-1080, USA. wendy-hansen@uiowa.edu
    • Obstet Gynecol. 2002 Nov 1; 100 (5 Pt 2): 1069-72.

    BackgroundPlacenta 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.CaseA 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.ConclusionSonohysterography is a useful tool in discriminating a solid intracavitary mass from a placenta accreta postpartum.

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