[Prenatal diagnosis of a placenta praevia percreta with color Doppler. A case report. Review of the literature].
Placenta praevia percreta, with bladder invasion, was diagnosed at 29 weeks of amenorrhoea with colour Doppler which visualized vascular bundles leaving the placenta and reaching the lower part of the bladder. These bundles were identified as including arterial elements with pulsed Doppler. The criteria for the diagnosis of placenta accreta with ultrasonography and colour Doppler have been presented in the literature. This prenatal diagnosis allowed adapted preoperative management and intensive care, however air embolism could not be avoided and the patient died at the end of the operation.
Mégier
P
P
Service de Gynécologie-Obstétrique B, Centre Hospitalier Régional d'Orléans.
Du Rouchet
E
E
Desroches
A
A
Guesdon-Maurel
F
F
Espèrandieu
O
O
Maitre
F
F
D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects; D004618:Embolism, Air / Q000209:etiology; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D010921:Placenta Accreta / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy; D010923:Placenta Previa / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy; D011247:Pregnancy; D011248:Pregnancy Complications / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy; D016216:Ultrasonography, Prenatal; D001745:Urinary Bladder Diseases / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy
Diagnostic anténatal d'un placenta praevia percreta grâce au Doppler couleur. A propos d'un cas. Revue de la littérature.