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Placenta percreta

MedGen UID:
78619
•Concept ID:
C0266766
•
Pathologic Function
Synonyms: Percreta, Placenta; Placenta Percreta
SNOMED CT: Placenta percreta (25585008)
 
HPO: HP:0025653

Definition

Placenta percreta is a rare form of morbidly adherent placenta with penetration through the myometrium reaching serosa and even adjacent pelvic organs. [from HPO]

Professional guidelines

PubMed

Placenta previa percreta with surrounding organ involvement: a proposal for management.
Matsuo K, Sangara RN, Matsuzaki S, Ouzounian JG, Hanks SE, Matsushima K, Amaya R, Roman LD, Wright JD
Int J Gynecol Cancer 2023 Oct 2;33(10):1633-1644. doi: 10.1136/ijgc-2023-004615. PMID: 37524496
Placenta Accreta Spectrum.
Society of Gynecologic Oncology; American College of Obstetricians and Gynecologists and the Society for Maternal–Fetal Medicine, Cahill AG, Beigi R, Heine RP, Silver RM, Wax JR
Am J Obstet Gynecol 2018 Dec;219(6):B2-B16. doi: 10.1016/j.ajog.2018.09.042. PMID: 30471891
Conservative management of placenta percreta.
Matsuzaki S, Yoshino K, Endo M, Kakigano A, Takiuchi T, Kimura T
Int J Gynaecol Obstet 2018 Mar;140(3):299-306. Epub 2018 Jan 3 doi: 10.1002/ijgo.12411. PMID: 29194646

Recent clinical studies

Etiology

What we know about placenta accreta spectrum (PAS).
Liu X, Wang Y, Wu Y, Zeng J, Yuan X, Tong C, Qi H
Eur J Obstet Gynecol Reprod Biol 2021 Apr;259:81-89. Epub 2021 Feb 6 doi: 10.1016/j.ejogrb.2021.02.001. PMID: 33601317
Special Report of the Society for Maternal-Fetal Medicine Placenta Accreta Spectrum Ultrasound Marker Task Force: Consensus on definition of markers and approach to the ultrasound examination in pregnancies at risk for placenta accreta spectrum.
Shainker SA, Coleman B, Timor-Tritsch IE, Bhide A, Bromley B, Cahill AG, Gandhi M, Hecht JL, Johnson KM, Levine D, Mastrobattista J, Philips J, Platt LD, Shamshirsaz AA, Shipp TD, Silver RM, Simpson LL, Copel JA, Abuhamad A; Society for Maternal-Fetal Medicine. Electronic address: pubs@smfm.org
Am J Obstet Gynecol 2021 Jan;224(1):B2-B14. doi: 10.1016/j.ajog.2020.09.001. PMID: 33386103
Minimizing surgical blood loss at cesarean hysterectomy for placenta previa with evidence of placenta increta or placenta percreta: the state of play in 2020.
Kingdom JC, Hobson SR, Murji A, Allen L, Windrim RC, Lockhart E, Collins SL, Soleymani Majd H, Alazzam M, Naaisa F, Shamshirsaz AA, Belfort MA, Fox KA
Am J Obstet Gynecol 2020 Sep;223(3):322-329. Epub 2020 Jan 30 doi: 10.1016/j.ajog.2020.01.044. PMID: 32007492Free PMC Article
Placenta Accreta Spectrum.
Society of Gynecologic Oncology; American College of Obstetricians and Gynecologists and the Society for Maternal–Fetal Medicine, Cahill AG, Beigi R, Heine RP, Silver RM, Wax JR
Am J Obstet Gynecol 2018 Dec;219(6):B2-B16. doi: 10.1016/j.ajog.2018.09.042. PMID: 30471891
Obstetric Care Consensus No. 7: Placenta Accreta Spectrum.
American College of Obstetricians and Gynecologists; Society for Maternal-Fetal Medicine
Obstet Gynecol 2018 Dec;132(6):e259-e275. doi: 10.1097/AOG.0000000000002983. PMID: 30461695

Diagnosis

Special Report of the Society for Maternal-Fetal Medicine Placenta Accreta Spectrum Ultrasound Marker Task Force: Consensus on definition of markers and approach to the ultrasound examination in pregnancies at risk for placenta accreta spectrum.
Shainker SA, Coleman B, Timor-Tritsch IE, Bhide A, Bromley B, Cahill AG, Gandhi M, Hecht JL, Johnson KM, Levine D, Mastrobattista J, Philips J, Platt LD, Shamshirsaz AA, Shipp TD, Silver RM, Simpson LL, Copel JA, Abuhamad A; Society for Maternal-Fetal Medicine. Electronic address: pubs@smfm.org
Am J Obstet Gynecol 2021 Jan;224(1):B2-B14. doi: 10.1016/j.ajog.2020.09.001. PMID: 33386103
Placenta Accreta Spectrum.
Society of Gynecologic Oncology; American College of Obstetricians and Gynecologists and the Society for Maternal–Fetal Medicine, Cahill AG, Beigi R, Heine RP, Silver RM, Wax JR
Am J Obstet Gynecol 2018 Dec;219(6):B2-B16. doi: 10.1016/j.ajog.2018.09.042. PMID: 30471891
Obstetric Care Consensus No. 7: Placenta Accreta Spectrum.
American College of Obstetricians and Gynecologists; Society for Maternal-Fetal Medicine
Obstet Gynecol 2018 Dec;132(6):e259-e275. doi: 10.1097/AOG.0000000000002983. PMID: 30461695
Outcome of Cesarean scar pregnancy managed expectantly: systematic review and meta-analysis.
Calì G, Timor-Tritsch IE, Palacios-Jaraquemada J, Monteaugudo A, Buca D, Forlani F, Familiari A, Scambia G, Acharya G, D'Antonio F
Ultrasound Obstet Gynecol 2018 Feb;51(2):169-175. doi: 10.1002/uog.17568. PMID: 28661021
Placenta accreta spectrum: pathophysiology and evidence-based anatomy for prenatal ultrasound imaging.
Jauniaux E, Collins S, Burton GJ
Am J Obstet Gynecol 2018 Jan;218(1):75-87. Epub 2017 Jun 24 doi: 10.1016/j.ajog.2017.05.067. PMID: 28599899

Therapy

Special Report of the Society for Maternal-Fetal Medicine Placenta Accreta Spectrum Ultrasound Marker Task Force: Consensus on definition of markers and approach to the ultrasound examination in pregnancies at risk for placenta accreta spectrum.
Shainker SA, Coleman B, Timor-Tritsch IE, Bhide A, Bromley B, Cahill AG, Gandhi M, Hecht JL, Johnson KM, Levine D, Mastrobattista J, Philips J, Platt LD, Shamshirsaz AA, Shipp TD, Silver RM, Simpson LL, Copel JA, Abuhamad A; Society for Maternal-Fetal Medicine. Electronic address: pubs@smfm.org
Am J Obstet Gynecol 2021 Jan;224(1):B2-B14. doi: 10.1016/j.ajog.2020.09.001. PMID: 33386103
Etiopathogenesis and risk factors for placental accreta spectrum disorders.
Ali H, Chandraharan E
Best Pract Res Clin Obstet Gynaecol 2021 Apr;72:4-12. Epub 2020 Jul 15 doi: 10.1016/j.bpobgyn.2020.07.006. PMID: 32753310
Minimizing surgical blood loss at cesarean hysterectomy for placenta previa with evidence of placenta increta or placenta percreta: the state of play in 2020.
Kingdom JC, Hobson SR, Murji A, Allen L, Windrim RC, Lockhart E, Collins SL, Soleymani Majd H, Alazzam M, Naaisa F, Shamshirsaz AA, Belfort MA, Fox KA
Am J Obstet Gynecol 2020 Sep;223(3):322-329. Epub 2020 Jan 30 doi: 10.1016/j.ajog.2020.01.044. PMID: 32007492Free PMC Article
Conservative management of placenta percreta.
Matsuzaki S, Yoshino K, Endo M, Kakigano A, Takiuchi T, Kimura T
Int J Gynaecol Obstet 2018 Mar;140(3):299-306. Epub 2018 Jan 3 doi: 10.1002/ijgo.12411. PMID: 29194646
Outcome of Cesarean scar pregnancy managed expectantly: systematic review and meta-analysis.
Calì G, Timor-Tritsch IE, Palacios-Jaraquemada J, Monteaugudo A, Buca D, Forlani F, Familiari A, Scambia G, Acharya G, D'Antonio F
Ultrasound Obstet Gynecol 2018 Feb;51(2):169-175. doi: 10.1002/uog.17568. PMID: 28661021

Prognosis

Etiopathogenesis and risk factors for placental accreta spectrum disorders.
Ali H, Chandraharan E
Best Pract Res Clin Obstet Gynaecol 2021 Apr;72:4-12. Epub 2020 Jul 15 doi: 10.1016/j.bpobgyn.2020.07.006. PMID: 32753310
Minimizing surgical blood loss at cesarean hysterectomy for placenta previa with evidence of placenta increta or placenta percreta: the state of play in 2020.
Kingdom JC, Hobson SR, Murji A, Allen L, Windrim RC, Lockhart E, Collins SL, Soleymani Majd H, Alazzam M, Naaisa F, Shamshirsaz AA, Belfort MA, Fox KA
Am J Obstet Gynecol 2020 Sep;223(3):322-329. Epub 2020 Jan 30 doi: 10.1016/j.ajog.2020.01.044. PMID: 32007492Free PMC Article
Placenta Accreta Spectrum.
Society of Gynecologic Oncology; American College of Obstetricians and Gynecologists and the Society for Maternal–Fetal Medicine, Cahill AG, Beigi R, Heine RP, Silver RM, Wax JR
Am J Obstet Gynecol 2018 Dec;219(6):B2-B16. doi: 10.1016/j.ajog.2018.09.042. PMID: 30471891
Obstetric Care Consensus No. 7: Placenta Accreta Spectrum.
American College of Obstetricians and Gynecologists; Society for Maternal-Fetal Medicine
Obstet Gynecol 2018 Dec;132(6):e259-e275. doi: 10.1097/AOG.0000000000002983. PMID: 30461695
Morbidly adherent placenta.
Abuhamad A
Semin Perinatol 2013 Oct;37(5):359-64. doi: 10.1053/j.semperi.2013.06.014. PMID: 24176160

Clinical prediction guides

Antenatal diagnosis of placenta accreta spectrum (PAS) disorders.
Yu FNY, Leung KY
Best Pract Res Clin Obstet Gynaecol 2021 Apr;72:13-24. Epub 2020 Jul 15 doi: 10.1016/j.bpobgyn.2020.06.010. PMID: 32747328
Placenta Accreta Spectrum.
Society of Gynecologic Oncology; American College of Obstetricians and Gynecologists and the Society for Maternal–Fetal Medicine, Cahill AG, Beigi R, Heine RP, Silver RM, Wax JR
Am J Obstet Gynecol 2018 Dec;219(6):B2-B16. doi: 10.1016/j.ajog.2018.09.042. PMID: 30471891
Obstetric Care Consensus No. 7: Placenta Accreta Spectrum.
American College of Obstetricians and Gynecologists; Society for Maternal-Fetal Medicine
Obstet Gynecol 2018 Dec;132(6):e259-e275. doi: 10.1097/AOG.0000000000002983. PMID: 30461695
Outcome of Cesarean scar pregnancy managed expectantly: systematic review and meta-analysis.
Calì G, Timor-Tritsch IE, Palacios-Jaraquemada J, Monteaugudo A, Buca D, Forlani F, Familiari A, Scambia G, Acharya G, D'Antonio F
Ultrasound Obstet Gynecol 2018 Feb;51(2):169-175. doi: 10.1002/uog.17568. PMID: 28661021
Placenta accreta spectrum: pathophysiology and evidence-based anatomy for prenatal ultrasound imaging.
Jauniaux E, Collins S, Burton GJ
Am J Obstet Gynecol 2018 Jan;218(1):75-87. Epub 2017 Jun 24 doi: 10.1016/j.ajog.2017.05.067. PMID: 28599899

Recent systematic reviews

Urological complications in women undergoing Cesarean section for placenta accreta spectrum disorders: systematic review and meta-analysis.
Lucidi A, Jauniaux E, Hussein AM, Coutinho CM, Tinari S, Khalil A, Shamshirsaz A, Palacios-Jaraquemada JM, D'Antonio F
Ultrasound Obstet Gynecol 2023 Nov;62(5):633-643. doi: 10.1002/uog.26299. PMID: 37401769
Diagnostic accuracy of ultrasound in the diagnosis of Placenta accreta spectrum: systematic review and meta-analysis.
Maged AM, El-Mazny A, Kamal N, Mahmoud SI, Fouad M, El-Nassery N, Kotb A, Ragab WS, Ogila AI, Metwally AA, Lasheen Y, Fahmy RM, Katta M, Shaeer EK, Salah N
BMC Pregnancy Childbirth 2023 May 15;23(1):354. doi: 10.1186/s12884-023-05675-6. PMID: 37189095Free PMC Article
Searching for placenta percreta: a prospective cohort and systematic review of case reports.
Jauniaux E, Hecht JL, Elbarmelgy RA, Elbarmelgy RM, Thabet MM, Hussein AM
Am J Obstet Gynecol 2022 Jun;226(6):837.e1-837.e13. Epub 2021 Dec 29 doi: 10.1016/j.ajog.2021.12.030. PMID: 34973177
Conservative management of placenta percreta.
Matsuzaki S, Yoshino K, Endo M, Kakigano A, Takiuchi T, Kimura T
Int J Gynaecol Obstet 2018 Mar;140(3):299-306. Epub 2018 Jan 3 doi: 10.1002/ijgo.12411. PMID: 29194646
Outcome of Cesarean scar pregnancy managed expectantly: systematic review and meta-analysis.
Calì G, Timor-Tritsch IE, Palacios-Jaraquemada J, Monteaugudo A, Buca D, Forlani F, Familiari A, Scambia G, Acharya G, D'Antonio F
Ultrasound Obstet Gynecol 2018 Feb;51(2):169-175. doi: 10.1002/uog.17568. PMID: 28661021

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