J Korean Med Sci.  2007 Oct;22(5):932-935. 10.3346/jkms.2007.22.5.932.

A Case of Placenta Increta Presenting as Delayed Postabortal Intraperitoneal Bleeding in the First Trimester

• Son G
• Kwon J
• Cho H
• Kim S
• Yoon B
• Nam E
• Kim J
• Kim Y
• Kim J
• Cho N
• Kim S

• KMID: 1713308
• DOI: http://doi.org/10.3346/jkms.2007.22.5.932

Abstract

Placenta increta is an uncommon and life-threatening complication of pregnancy characterized by complete or partial absence of the decidua basalis. Placenta increta usually presents with vaginal bleeding during difficult placental removal in the third-trimester. Although placenta increta may complicate first and early secondtrimester pregnancy loss, the diagnosis can be very difficult during early pregnancy and thus the lesion is difficult to identify. We encountered with a woman who was diagnosed with placenta increta after receiving emergency hysterectomy due to intraperitoneal bleeding 2 months after an uncomplicated dilatation and curettage in the first trimester. Therefore, we report this case with a brief review of the literature.

Keyword

Placenta Increta; First Trimester; Intraperitoneal Bleeding

MeSH Terms

Abortion, Induced/*adverse effects
Adult
Diagnosis, Differential
Female
Humans
Placenta Accreta/*diagnosis
Pregnancy
Tomography, X-Ray Computed
Treatment Outcome
Uterine Hemorrhage/*diagnosis

Figure

• 

  Fig. 1 Computed tomography (CT) of the abdomen and pelvis. The CT demonstrates a vascular mass on the left uterine cornual portion.

• 

  Fig. 2 Histologic section of the uterine mass (A). In the superficial and deep myometrium, there were multifocal aggregates of intermediate trophoblasts and chorionic villi surrounded by a large amount of fibrin (H&E, ×40). (B) There was no definite evidence of decidua basalis in the junction of placenta and myometrium (H&E, ×200).

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