Legesse Awol Yemane, Teka Hale, Kiros Sara
Department of Obstetrics and Gynecology, Mekelle University, Mekelle, Tigray, Ethiopia.
Department of Pathology, Mekelle University, Mekelle, Tigray, Ethiopia.
Int Med Case Rep J. 2023 Mar 28;16:221-225. doi: 10.2147/IMCRJ.S403052. eCollection 2023.
Placenta accreta spectrum is an obstetrics complication in which the placenta has abnormally adhered to the decidua and uterine wall. Placenta percreta is the rarest and sternest variant of accreta syndrome. In this study, we present a case of placenta percreta where we have done ultrasound-guided trans fundal vertical uterine incision to deliver a healthy fetus and subsequent cesarean hysterectomy. Antepartum diagnosis, involvement of a multidisciplinary team, appropriate counseling of women and their families, ultrasound guidance for placental margin demarcation, and vertical transfundal uterine incision can be considered for patients with placenta percreta.
胎盘植入谱系疾病是一种产科并发症，胎盘异常附着于蜕膜和子宫壁。穿透性胎盘植入是植入综合征中最罕见、最严重的类型。在本研究中，我们报告了一例穿透性胎盘植入病例，我们采用超声引导经子宫底垂直子宫切口娩出健康胎儿，随后行剖宫产子宫切除术。对于穿透性胎盘植入患者，可考虑进行产前诊断、多学科团队参与、对患者及其家属进行适当的咨询、超声引导下划定胎盘边缘以及经子宫底垂直子宫切口。
