First trimester placenta accreta: a rare clinical entity and diagnostic dilemma

First trimester placenta accreta is a rare occurrence but potential life threatening and catastrophic. Most of these cases ended up with emergency hysterectomy. We report a case of incidental finding of placental accreta during evacuation of retained product of conception (ERPOC) for missed miscarri...

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Main Authors:	Ng, Beng Kwang, Wang, PY, Ng, WYL, Mohammed F, Lim, Pei Shan, Mahdy ZA
Format:	Article
Language:	English
Published:	Pusat Perubatan Universiti Kebangsaan Malaysia 2017
Online Access:	http://journalarticle.ukm.my/12286/ http://journalarticle.ukm.my/12286/ http://journalarticle.ukm.my/12286/1/10._ng_et_al.pdf

id	ukm-12286
recordtype	eprints
spelling	ukm-122862018-11-02T21:54:35Z http://journalarticle.ukm.my/12286/ First trimester placenta accreta: a rare clinical entity and diagnostic dilemma Ng, Beng Kwang Wang, PY Ng, WYL Mohammed F, Lim, Pei Shan Mahdy ZA, First trimester placenta accreta is a rare occurrence but potential life threatening and catastrophic. Most of these cases ended up with emergency hysterectomy. We report a case of incidental finding of placental accreta during evacuation of retained product of conception (ERPOC) for missed miscarriage. A 33-year-old, Gravida 4 Para 2 + 1 at 15 weeks’ gestation admitted for missed miscarriage, failed medical evacuation requiring ERPOC. There was excessive bleeding during the procedure and required hysterectomy and bilateral internal iliac artery ligation. Histopathological examination confirmed products of conception with evidence of placenta accreta. This case highlighted the diagnostic dilemma and importance of early accurate diagnosis of placental accreta prior to any surgical intervention for miscarriage. Pusat Perubatan Universiti Kebangsaan Malaysia 2017 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/12286/1/10._ng_et_al.pdf Ng, Beng Kwang and Wang, PY and Ng, WYL and Mohammed F, and Lim, Pei Shan and Mahdy ZA, (2017) First trimester placenta accreta: a rare clinical entity and diagnostic dilemma. Journal of Surgical Academia, 7 (2). pp. 39-42. ISSN 2231-7481 http://jsurgacad.com/toc/7/2
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Kebangasaan Malaysia
building	UKM Institutional Repository
collection	Online Access
language	English
description	First trimester placenta accreta is a rare occurrence but potential life threatening and catastrophic. Most of these cases ended up with emergency hysterectomy. We report a case of incidental finding of placental accreta during evacuation of retained product of conception (ERPOC) for missed miscarriage. A 33-year-old, Gravida 4 Para 2 + 1 at 15 weeks’ gestation admitted for missed miscarriage, failed medical evacuation requiring ERPOC. There was excessive bleeding during the procedure and required hysterectomy and bilateral internal iliac artery ligation. Histopathological examination confirmed products of conception with evidence of placenta accreta. This case highlighted the diagnostic dilemma and importance of early accurate diagnosis of placental accreta prior to any surgical intervention for miscarriage.
format	Article
author	Ng, Beng Kwang Wang, PY Ng, WYL Mohammed F, Lim, Pei Shan Mahdy ZA,
spellingShingle	Ng, Beng Kwang Wang, PY Ng, WYL Mohammed F, Lim, Pei Shan Mahdy ZA, First trimester placenta accreta: a rare clinical entity and diagnostic dilemma
author_facet	Ng, Beng Kwang Wang, PY Ng, WYL Mohammed F, Lim, Pei Shan Mahdy ZA,
author_sort	Ng, Beng Kwang
title	First trimester placenta accreta: a rare clinical entity and diagnostic dilemma
title_short	First trimester placenta accreta: a rare clinical entity and diagnostic dilemma
title_full	First trimester placenta accreta: a rare clinical entity and diagnostic dilemma
title_fullStr	First trimester placenta accreta: a rare clinical entity and diagnostic dilemma
title_full_unstemmed	First trimester placenta accreta: a rare clinical entity and diagnostic dilemma
title_sort	first trimester placenta accreta: a rare clinical entity and diagnostic dilemma
publisher	Pusat Perubatan Universiti Kebangsaan Malaysia
publishDate	2017
url	http://journalarticle.ukm.my/12286/ http://journalarticle.ukm.my/12286/ http://journalarticle.ukm.my/12286/1/10._ng_et_al.pdf
first_indexed	2023-09-18T20:02:16Z
last_indexed	2023-09-18T20:02:16Z
_version_	1777406927532195840

First trimester placenta accreta: a rare clinical entity and diagnostic dilemma

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