Young Anna Marie Pacheco, Uribe Katelyn, Shaddeau Angela K
Johns Hopkins School of Medicine, Baltimore, MD, United States of America.
Johns Hopkins Department of Gynecology and Obstetrics, Baltimore, MD, United States of America.
Case Rep Womens Health. 2021 Jun 10;31:e00334. doi: 10.1016/j.crwh.2021.e00334. eCollection 2021 Jul.
Abnormal placentation commonly occurs in women with a history of uterine surgery or placenta previa. Placenta accreta spectrum can occur in the setting of lesser-known risk factors and anatomical locations.
A 41-year-old woman (G6P4014) at 18 weeks of gestation without major risk factors was diagnosed with a placenta accreta after presenting for desired termination of pregnancy. On examination, placental tissue was found to be protruding through the cervical os and this was confirmed by magnetic resonance imaging (MRI). Management included pregnancy termination with intracardiac potassium chloride injection, uterine artery embolization, and a total abdominal hysterectomy.
Protruding cervical tissue should raise suspicion for placenta accreta. Appropriate evaluation and surgical planning should be performed to ensure a safe delivery.
异常胎盘植入常见于有子宫手术史或前置胎盘的女性。胎盘植入谱系疾病可发生在一些不太为人所知的风险因素和解剖部位的情况下。
一名41岁女性（孕6产4014），妊娠18周，无重大风险因素，因要求终止妊娠就诊时被诊断为胎盘植入。检查发现胎盘组织经宫颈口突出，磁共振成像（MRI）证实了这一点。治疗措施包括经心内注射氯化钾终止妊娠、子宫动脉栓塞及全腹子宫切除术。
宫颈组织突出应引起对胎盘植入的怀疑。应进行适当评估和手术规划以确保安全分娩。
