INTRODUCTION This report describes the challenges of treating a pregnant woman who had a rare case of critical placenta accreta with concurrent Cromer system anti-Tc(a) and anti-Kidd A alloantibodies. No previous case of such alloimmunization in a patient with placenta accreta has been reported. CASE PRESENTATION A 28-year-old African woman with anti-Cromer Tc(a) antibodies, anti-Kidd A antib...

BACKGROUND Placenta accreta is a rare obstetric condition but can lead to life-threatening complications that was mainly diagnosed in the third trimester. We present a case of acute trophoblastic pulmonary embolism (PE) during conservative treatment of placenta accreta. CASE PRESENTATION A 24-year-old patient who delivered vaginally at 40(+4) weeks gestation. The placenta was retained despite...

It has been advocated that placenta accreta/percreta should be managed conservatively to avoid massive pelvic bleeding and preserve fertility. Diagnosis of this condition with high-resolution imaging investigations performed during the antenatal period facilitates discussion of management plans with other clinical disciplines (eg interventional radiologists), the patient, and her family. Three ...

We aimed to present a combined surgical procedure in conservative treatment of placenta accreta based on surgical outcomes in our cohort of patients. The study was designed as a prospective cohort series study. The setting involved two education and research hospitals in Turkey. This study included 12 patients with placenta accreta who were prenatally diagnosed and managed. We offered the patie...

OBJECTIVE The purpose of this study was to report the morbidity of nonemergent hysterectomy for suspected placenta accreta. STUDY DESIGN This was a retrospective study of all patients who underwent nonemergent hysterectomy for placenta accreta at Tampa General Hospital from June 1, 2003 to May 31, 2009. RESULTS Twenty-nine patients were identified. Diagnosis was suspected on ultrasound scan...

AIM To assess the usefulness of a new method for cesarean section (CS) that is comprised of a transverse incision into the uterine fundus, developed for women with placentas covering the entire anterior uterine wall, and introduced in September 2006. MATERIAL AND METHODS Review of medical records of 12 and 29 women who underwent CS by the new and conventional methods, respectively, for placen...

Placenta accreta presents one of the highest risks to pregnancy, and its more severe variant, placenta percreta, is particularly risky. The incidence of both conditions is increasing. Placenta percreta requires a cesarean hysterectomy for management, but the challenges associated with this surgery often result in severe obstetric hemorrhaging and high rates of maternal morbidity. Several recent...

Objective: Abnormal placentation is a serious complication of pregnancy, and is associated with significant morbidity and mortality. There has been recent debate regarding the deployment of occlusive balloons as an adjuvant to surgery to minimize blood loss in these patients. This article reviews the literature on the use of occlusive balloons for management of placenta accreta and outlines som...

Objective: To assess the role of color Doppler as a complementary technique to grayscale in the early detection of placenta accreta. Material and Methods: One hundred and ten pregnant women with confirmed placenta previa complete centralize (after 28 weeks' gestation) were included prospectively into this study. Gray-scale trans abdominal ultrasound examination was performed to detect loss of t...