Elghanmi Adil, Kouhen Fadila, Abdallaoui Maane Leila, Fichtali Karima, Ghazi Bouchra
Gynecology and Obstetrics, Immunopathology-Immunotherapy-Immunomonitoring Laboratory, Faculty of Medicine, Mohammed VI University of Health and Sciences (UM6SS), Casablanca, MAR.
Gynecology and Obstetrics, Mohammed VI International University Hospital, Bouskoura, MAR.
Cureus. 2025 Feb 8;17(2):e78726. doi: 10.7759/cureus.78726. eCollection 2025 Feb.
Fundal placenta accreta is a rare and challenging condition characterized by abnormal placental adherence to the myometrium, typically in the upper uterine segment. This case report describes a 35-year-old woman with a history of two previous cesarean sections, who presented at 19 weeks gestation with antepartum hemorrhage and was diagnosed with fundal placenta accreta. Diagnostic imaging, including ultrasound and MRI, revealed a centroplacental hematoma and signs of myometrial invasion, which were confirmed histopathologically after emergency extraction and postpartum management. Placenta accreta presents significant risks, primarily hemorrhagic, and requires careful diagnosis and management. Early detection using advanced imaging techniques, such as Doppler ultrasound and MRI, is crucial for planning treatment. Conservative and radical surgical options, including cesarean hysterectomy, must be considered depending on the severity of the condition.
胎盘植入子宫底部是一种罕见且具有挑战性的病症，其特征为胎盘异常附着于子宫肌层，通常位于子宫上段。本病例报告描述了一名35岁有两次剖宫产史的女性，她在妊娠19周时出现产前出血，被诊断为胎盘植入子宫底部。包括超声和磁共振成像（MRI）在内的诊断性影像学检查显示有胎盘中央血肿和子宫肌层浸润迹象，在紧急取出胎盘及产后处理后经组织病理学证实。胎盘植入存在重大风险，主要是出血风险，需要仔细诊断和处理。使用先进的影像学技术如多普勒超声和MRI进行早期检测对于制定治疗方案至关重要。根据病情严重程度，必须考虑保守和根治性手术方案，包括剖宫产子宫切除术。
