title: Laparoscopic management of placenta increta after late first-trimester dilation and evacuation manifesting as an unusual uterine mass.
abstract: Placenta increta is a rare and potentially life-threatening complication of pregnancy. The initial symptoms are generally vaginal bleeding during difficult placental removal in the third trimester. However, placenta increta may complicate first- and early second-trimester pregnancy loss. The diagnosis may be difficult during early pregnancy because the lesion is difficult to identify. Herein is reported the case of a woman with a diagnosis of placenta increta that caused prolonged bleeding after a late first-trimester abortion and manifested as an unusual lower segment uterine mass. Management included laparoscopy, and the placental tissue was completely removed successfully and uneventfully.
authors.affiliation: Department of Obstetrics and Gynecology, Mackay Memorial Hospital and Mackay Medicine, Nursing and Management College, Taipei, Taiwan. K9850316@ms24.hinet.net
authors.forename: Yeou-Lih
authors.initials: YL
authors.lastname: Wang
authors.forename: Tsung-Hsien
authors.initials: TH
authors.lastname: Su
authors.forename: Wen-Chu
authors.initials: WC
authors.lastname: Huang
authors.forename: Shih-Shien
authors.initials: SS
authors.lastname: Weng
mesh_terms: D000028:Abortion, Induced / Q000009:adverse effects*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D010921:Placenta Accreta / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D011247:Pregnancy; D011261:Pregnancy Trimester, First; D016896:Treatment Outcome; D014463:Ultrasonography