Placenta accreta postpartum.
BACKGROUND
Placenta accreta is the abnormal attachment of the placenta to the uterus. It occurs when the decidua basalis is either absent or incomplete. It is uncommon and most often presents with a retained placenta and hemorrhage.


METHODS
A 29-year-old gravida 1 had an uncomplicated antenatal course and delivery. The third stage of labor was complicated by a retained placenta necessitating manual removal. Her postpartum course was complicated by a persistent endometritis. The diagnosis of placenta accreta was made with the help of sonohysterography.


CONCLUSIONS
Sonohysterography is a useful tool in discriminating a solid intracavitary mass from a placenta accreta postpartum.
Ryan
Ginny L
GL
Department of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics, University of Iowa, Iowa City, Iowa 52242-1080, USA. wendy-hansen@uiowa.edu
Quinn
Timothy J
TJ
Syrop
Craig H
CH
Hansen
Wendy F
WF
D000328:Adult; D004716:Endometritis / Q000209:etiology; D005260:Female; D006801:Humans; D007044:Hysterectomy; D010921:Placenta Accreta / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D011247:Pregnancy; D011644:Puerperal Disorders / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D014463:Ultrasonography; D014599:Uterus / Q000000981:diagnostic imaging