 |
Case Report
Uterine septum as a risk factor for placenta accreta in primigravid woman
1 Resident (PGY4), Department of OBGYN, Sinai Hospital of Baltimore, Baltimore, Maryland, USA
2 Attendin, Department of OBGYN, Sinai Hospital of Baltimore, Baltimore, Maryland, USA
Address correspondence to:
Meagan Slate
2401 W Belvedere Ave, Baltimore, Maryland 21215,
USA
Message to Corresponding Author
Article ID: 100055Z08MS2019
Access full text article on other devices
Access PDF of article on other devices
How to cite this article
Slate M, Shell C. Uterine septum as a risk factor for placenta accreta in primigravid woman. J Case Rep Images Obstet Gynecol 2019;5:100055Z08MS2019.ABSTRACT
Introduction: Morbidly adherent placenta is a rare obstetrical complication associated with significant maternal morbidity. Known risk factors include a history of cesarean section, uterine instrumentation, placenta previa, and multiparity. Congenital uterine anomalies may be an additional risk factor for abnormal placentation.
Case Report: A 28-year-old, healthy, primigravid woman presented status post-vaginal delivery, complicated by retained placenta requiring manual extraction, dilation and curettage (D&C), and blood transfusion. Subsequent imaging revealed a persistently retained placenta with loss of the myometrial/endometrial border, diagnostic of placenta accreta. The patient underwent bilateral uterine artery embolization for conservative management of placenta accreta, and subsequent hysteroscopy revealed a significant uterine septum.
Conclusion: Uterine anomalies may increase a patient’s risk of abnormal placentation. Persistently retained placenta after initial D&C warrants detailed imaging [i.e., magnetic resonance imaging (MRI)] to rule out abnormally adherent placenta.
Keywords: Placenta accreta, Primigravid, Uterine anomalies
SUPPORTING INFORMATION
Acknowledgments
A special thank you to the patient for agreeing to participate in this case report, as well as the faculty at Sinai Hospital of Baltimore.
Author ContributionsMeagan Slate - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Caroline Shell - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2019 Meagan Slate et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
