4.5 Article

Placenta Accreta An Association With Fibroids and Asherman Syndrome

Journal

JOURNAL OF ULTRASOUND IN MEDICINE
Volume 27, Issue 11, Pages 1623-1628

Publisher

AMER INST ULTRASOUND MEDICINE
DOI: 10.7863/jum.2008.27.11.1623

Keywords

accreta; sonography fibroids; sonography placenta

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Objective. Placenta accreta is a life-threatening problem that is rising in incidence in the developed world. The increased risk of placenta accreta in women with placenta previa and 1 or more prior cesarean deliveries is well established and prompts careful sonographic evaluation. Our objective was to emphasize that accreta is also identified at sites other than cesarean scars. Methods. Two cases of placenta accreta without placenta previa seen in association with uterine scarring from myomectomy and uterine fibroids are described. Results. The sonographic and magnetic resonance imaging findings of accreta are reviewed in the classic setting of prior cesarean deliveries as well as myomectomy and uterine fibroids. Conclusions. We suggest that when the placenta overlies any uterine abnormality, a careful search for invasive placentation is warranted.

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