Case Report
Placenta Accreta in a Woman with Childhood Uterine Irradiation: A Case Report and Literature Review
Table 2
Cases of placenta accreta after uterine irradiation.
| | | | Age | | Irradiation | | | | | | | No. | Type | Primary disease | Irradiation | Pregnancy | Gravida and parity | Site | Dose | Method of conception | Cerclage | Pregnancy outcome | Treatment | Reference |
| | 1 | Percreta | Clear cell sarcoma | 7 | 23 | G1P0 | Pelvis | 70 Gy | Spontaneous | Not described | Uterine rupture abortion (13 weeks) | Hysterectomy | [6] | | 2 | Percreta | Chronic myeloid leukemia | 5 | 23 | G1P0 | Total body | 8.75 Gy | Spontaneous | Not described | Uterine rupture abortion (17 weeks) | Hysterectomy | [7] | | 3 | Accreta | Hodgkin’s lymphoma | 16 | 31 | G1P0 | Right hemipelvis, Mediastinum | 36 Gy, 36 Gy | Oocyte donation (twin pregnancy) | Not described | Cesarean section live birth (35 weeks) | Hysterectomy | [8] | | 4 | Accreta | Wilms tumor | 4 | 23 | G3P1 spontaneous abortion | Whole abdomen | 10.8 Gy | Spontaneous | Performed at 11 weeks’ gestation | Cesarean section live birth (37 weeks) | Manual placental removal. Hemostatic sutures | [9] | | 5 | Accreta | Myelo-dysplastic syndrome | 10 | 26 | G1P0 | Total body | 12 Gy | Spontaneous | Performed at 13 and 17 weeks’ gestation | Vaginal delivery live birth (27 weeks) | Placenta left in situ. Uterine artery embolization | This case |
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