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Case Reports in Obstetrics and Gynecology
Volume 2014 (2014), Article ID 429406, 3 pages
http://dx.doi.org/10.1155/2014/429406
Case Report

A Case of Placenta Increta Mimicking Submucous Leiomyoma

1Department of Materno-Fetal Medicine, Kanuni Sultan Suleyman Education and Research Hospital, Turgut Ozal Street No. 1, Kucukcekmece, 34303 Istanbul, Turkey
2Department of Gynecological Oncology, Istanbul Zeynep Kamil Maternity and Children Training and Research Hospital, Dr. Burhanettin Ustunel Street No. 10, Uskudar, 34668 Istanbul, Turkey
3Department of Obstetrics and Gynecology, Kanuni Sultan Suleyman Education and Research Hospital, Turgut Ozal Street No. 1, Kucukcekmece, 34303 Istanbul, Turkey
4Department of Pathology, Kanuni Sultan Suleyman Education and Research Hospital, Turgut Ozal Street No. 1, Kucukcekmece, 34303 Istanbul, Turkey

Received 7 September 2014; Revised 21 November 2014; Accepted 21 November 2014; Published 7 December 2014

Academic Editor: Erich Cosmi

Copyright © 2014 Ali Ekiz et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

In recent years with the increase in cesarean section rates, the frequency of placenta accreta cases rises. It causes 33–50% of all emergency peripartum hysterectomies. We present a 42-year-old case who was caught with early postpartum hemorrhage due to retained placental products. The ultrasonography showed a 65 × 84 mm mass in the uterine cavity after the delivery. Due to presence of early postpartum hemorrhage which needs transfusion, an intervention decision was made. The patient underwent curettage but the mass could not be removed so that placental retention was ruled out. Submucous leiomyoma was made as first-prediagnosis. Hysterectomy operation was performed as a curative treatment. Placenta increta diagnosis was made as a final diagnosis with pathological examination. As a result, placental attachment disorders may be overlooked if it is not a placenta previa case.