Placenta accreta spectrum disorder in a primigravida with angular pregnancy: a case report

Medical Journal of Indonesia

article

AbarhamMartadiansyah¹  Nuswil Bernolian¹  Putri Mirani¹  Peby Maulina Lestari¹  Citra Dewi²  Wim Theodorus Pangemanan¹  Ahmad Kurdi Syamsuri¹  Muhammad Hatta Ansori³  Cindy Kesty¹ 

[1] Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Sriwijaya, Mohammad Hoesin Hospital;Department of Anatomical Pathology, Faculty of Medicine, Universitas Sriwijaya, Mohammad Hoesin Hospital;Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Faculty of Medicine Sriwijaya University

关键词: angular pregnancy;    case report;    placenta accreta;   

DOI  :  10.13181/mji.cr.226011

学科分类：社会科学、人文和艺术（综合）

来源: Faculty of Medicine Universitas Indonesia

【 摘 要 】

Placenta accreta spectrum (PAS) is characterized by abnormal invasion of placental tissue into the underlying uterine muscles and has an incidence of 1/533–1/251. The incidence of complications includes uterine rupture (14–29%), PAS (6–10%), and retained placenta or incomplete placenta removal (4%). Here, we described a rare case of PAS and angular pregnancy, including how to diagnose and manage it preoperatively. A 32-year-old primigravida diagnosed at 24 weeks of gestation with a right angular pregnancy was admitted due to preterm premature rupture of membrane (PPROM) with a singleton fetus. We decided to perform hysterotomy because of the PPROM and intrauterine infection. Intraoperatively, we found PAS in the right angular pregnancy; therefore, we performed uterine conservative management with wedge resection on the right uterine fundus. Intraoperative bleeding was 1,600 cc. Histopathological examination revealed placenta increta. The maternal prognosis was good, while the fetus was poor, with an APGAR score of 1/1/0.

【 授权许可】

CC BY-NC