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J Ultrasound Med. 2008 Nov;27(11):1623-8.

Placenta accreta: an association with fibroids and Asherman syndrome.

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1
Department of Maternal-Fetal Medicine, University of Ottawa, Ottawa Hospital, Ottawa, Ontario, Canada.

Abstract

OBJECTIVE:

Placenta accreta is a life-threatening problem that is rising in incidence in the developed world. The increased risk of placenta accreta in women with placenta previa and 1 or more prior cesarean deliveries is well established and prompts careful sonographic evaluation. Our objective was to emphasize that accreta is also identified at sites other than cesarean scars.

METHODS:

Two cases of placenta accreta without placenta previa seen in association with uterine scarring from myomectomy and uterine fibroids are described.

RESULTS:

The sonographic and magnetic resonance imaging findings of accreta are reviewed in the classic setting of prior cesarean deliveries as well as myomectomy and uterine fibroids.

CONCLUSIONS:

We suggest that when the placenta overlies any uterine abnormality, a careful search for invasive placentation is warranted.

PMID:
18946102
[Indexed for MEDLINE]
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