A rare case report of hysterotomy for retained placenta accreta in bicornuate uterus

Sharma, Reena; Gupta, Amit; Chaudhary, Usha Kumari; Sharma, Ajay; Kumar, Arvind

doi:10.18203/2320-1770.ijrcog20150763

Cited by 1 publication

(2 citation statements)

References 18 publications

(24 reference statements)

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“…11 While there is a strong association between praevia and PAS, especially in those with a history of a prior caesarean section, other uterine surgeries confer a risk of PAS, 10 and there are case reports of PAS in women with PAS with a bicornuate uterus but without a history of uterine surgery. 12 In this series, the number of women with PAS without praevia and with no prior caesarean section is consistent therefore with other reports. The absolute risk of PAS in a woman without a history of a previous caesarean section is very low; however, a degree of clinical suspicion is required to enable optimal management and avoid the potential for massive haemorrhage with attempted placental removal if there is adherence.…”

Section: Table 2 (Continued)supporting

confidence: 92%

“…Placenta praevia has been such an important component of the diagnosis of PAS that it was initially considered that this was necessary to make a diagnosis 11 . While there is a strong association between praevia and PAS, especially in those with a history of a prior caesarean section, other uterine surgeries confer a risk of PAS, 10 and there are case reports of PAS in women with PAS with a bicornuate uterus but without a history of uterine surgery 12 . In this series, the number of women with PAS without praevia and with no prior caesarean section is consistent therefore with other reports.…”

Section: Discussionmentioning

confidence: 99%

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A comparison of praevia and non‐praevia outcomes in placenta accreta spectrum cases: A single centre analysis

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Kennedy-Andrews

et al. 2022

Aust NZ J Obst Gynaeco

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Placenta accreta spectrum (PAS) is a group of complex disorders of placental attachment, associated with significant maternal morbidity and mortality. Most commonly, this disorder is associated with a history of caesarean section(s) and placenta praevia. 1 Other risk factors include in vitro fertilisation (IVF) procedures and a history of other uterine surgeries, including dilatation and curettage. 2 In some situations, PAS can occur with a placenta that is not apparently low lying. These cases are more difficult to

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Section: Table 2 (Continued)supporting

confidence: 92%