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Placenta accreta
From WikEM
Contents
Background
- Placenta accreta - superficial attachment to myometrium, uterus is possibly savable without hysterectomy
- Usually requires hysterectomy
- Placenta increta - invasion of myometrium
- Placenta percreta - penetrates myometrium, into serosa, possibly bladder
- Associated with Placental abruption
Risk factors
- Prior C-section
- Other uterine surgery
- Low lying placenta
- Placenta previa
- Grand multiparity
- Asherman syndrome
Clinical Features
Differential Diagnosis
Abdominal Pain in Pregnancy
<20 Weeks
- Ectopic pregnancy
- First trimester abortion
- Complete Abortion
- Threatened Abortion
- Inevitable Abortion
- Incomplete Abortion
- Missed Abortion
- Septic abortion
- Ovarian torsion
- Incarcerated uterus
- Malposition of the uterus
- Non-pregnancy related causes
>20 Weeks
- Labor/Preterm labor
- Placental abruption
- Placenta previa
- Vasa previa
- Uterine rupture
- Vaginal trauma
- HELLP syndrome
- Chorioamnionitis
- Incarcerated uterus
- Malposition of the uterus
- Non-pregnancy related causes
- Placenta accreta
- Placenta increta
- Placenta percreta
Evaluation
Management
Disposition
See Also
References
Authors
Kevin Lu, Michael Holtz, Ross Donaldson, Daniel Ostermayer, Neil Young
