Case Reports in Obstetrics and Gynecology / 2017 / Article / Tab 1

Case Report

Placenta Percreta in First Trimester after Multiple Rounds of Failed Medical Management for a Missed Abortion

Table 1

Morbidly adherent placentas (MAPs) diagnosed in the first trimester and treated before 15 weeks’ gestation [1, 3, 4].

Author and yearType of MAPPrior CS§Prior D&CGA at Diagnosis#Presenting symptomsUS diagnostic of MAPManagement &

Helkjaer et al., 1982n/1011 wksVBn/aLaparotomy,
Woolcott et al., 1987Percreta2010 wksVBNo; missed abortionLaparotomy,
hysterectomy + bladder repair
Haider, 1990Percreta1010 wksVBNo; missed abortionLaparotomy,
Ecker et al., 1992Incretan/an/a1st trimestern/an/aLaparotomy,
Arredondo et al., 1995Accreta031st trimesterNoneNo; missed abortionLaparotomy,
Gherman et al., 1999Increta118 wksVB/abd painYes; suspected MAPLaparoscopy/laparotomy, hysterectomy
Walter et al., 1999Increta1011 wksVBn/aD&C/laparotomy, hysterectomy
Marcus et al., 1999Percreta2013 wksVBn/aUAE/D&C/laparotomy, hysterectomy
Chanrachakul et al., 2001Increta107 wksVBNo; missed abortionD&C/laparotomy, hysterectomy
Hopker et al., 2002Percreta1110 wksAbd painYes; suspected MAP versus invasive moleLaparotomy,
Shih et al., 2002Accreta008 wksVBYes; suspected MAPElective laparotomy at 15 wks, hysterectomy
Buetow, 2002Percreta101st trimesterVB/pelvic painYes; suspected MAPLaparotomy,
Chen et al., 2002Accreta219 wksVBYes; suspected MAPLaparotomy,
Liang et al., 2003Percreta2n/a1st trimesterAbd pain/shockn/aLaparotomy,
Liu et al., 2003Increta101st trimestern/an/aUAE/laparotomy, hysterectomy
Coniglio and Dickinson, 2004Accreta208 wksAbd pain/shockYes; suspected Cesarean scar pregnancyLaparotomy, repair
Dabulis and McGuirk, 2007Percreta319 wksAbd painYes; suspected MAPLaparotomy,
Son et al., 2007Increta038 wksAbd pain/syncopeAbd/pelvis computed tomographyLaparotomy,
Tanyi et al., 2008Percreta117 wksVB/abd painNo; threatened abortionD&C/laparotomy, hysterectomy
Papadaskis et al., 2008††Percreta2111 wksVBNo; missed abortionD&C/laparotomy, hysterectomy
Soleymani et al., 2009Increta0011 wksVBYes; suspected MAPD&C/UAE, resolved
Yang et al., 2009Increta2312 wksVBYes; suspected MAPUAE, resolved
Pont et al., 2010Percreta1113 wksAbd painn/aLaparotomy,
Hanif et al., 2011Percreta2212 wksAbd pain/syncopeNo; ectopic pregnancyLaparotomy,
Shojai et al., 2012††Increta207 wksn/aNo; missed abortionD&C/laparotomy, hysterectomy
Shaamash et al., 2014Accreta2011 wksVB/abd painYes; suspected MAP versus molar changesD&C/laparotomy, hysterectomy

Cesarean delivery; dilation and curettage; vaginal bleeding; uterine artery embolization; #gestational age; unknown or not reported; ††failed medical management with misoprostol.

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