Diagnostic and decision-making difficulties: Placenta accreta at nine weeks’ gestation

Publication date: Available online 18 December 2015 Source:Asian Pacific Journal of Reproduction Author(s): Achour Radhouane, Bouriel Ines, Neji Khaled The majority of cases of placenta accreta are unanticipated and initially identified intraoperatively. Although color Doppler ultrasound is adequate for the evaluation of placenta accreta in the third trimester, ultrasound diagnosis in the first trimester has never been reported. To our knowledge, this is the first case of placenta accreta detected at 9 weeks' gestation by ultrasound. Placenta accreta with intraplacental lacunae can be identified together with a loss of the hypoechogenic retroplacental myometrial zone. Based on this case, we found that early diagnosis of placenta accreta in the first trimester by ultrasound is possible.
Source: Asian Pacific Journal of Reproduction - Category: Reproduction Medicine Source Type: research