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Conservative and timely treatment in retained products of conception: a case report of placenta accreta ritention.
Int J Clin Exp Pathol. 2015; 8(10):13625-9.IJ

Abstract

The term retained products of conception (RPOC) refers to intrauterine tissue that develops after conception and persists after medical and surgical pregnancy termination, miscarriage, and vaginal or cesarean delivery. One of the most important factor risk for RPOC is placenta accreta, defined as "the abnormal adherence, either in whole or in part, of the afterbirth to the underlying uterine wall". We report a case of a 37 years old woman referred to our gynecologic department with irregular vaginal bleeding. On her medical history, she had a cesarean occurred 3 months before. Ultrasonography revealed in the uterine cavity hyperechoic mass, treated with curettage. Two weeks later the curettage, patient complained still vaginal bleeding. On the transvaginal ultrasound, the uterine cavity was occupied again by a hyperechoic mass. She underwent to hysteroscopic resection and histological diagnosis was compatible with placenta accreta residual. In the follow up she had not complications. Early diagnosis, prompt evaluation of bleeding is important for timely treatment and for preventing immediate complications and demolitive approach. A careful follow up is necessary to prevent late consequences. The purpose of this study is to report our experience in timely diagnosis and conservative management.

Authors+Show Affiliations

Department of Medical and Surgical Sciences and Translational Medicine, Sant'Andrea Hospital, Faculty of Medicine and Psychology University of Rome "Sapienza" Italy.Department of Medical and Surgical Sciences and Translational Medicine, Sant'Andrea Hospital, Faculty of Medicine and Psychology University of Rome "Sapienza" Italy.Department of Medical and Surgical Sciences and Translational Medicine, Sant'Andrea Hospital, Faculty of Medicine and Psychology University of Rome "Sapienza" Italy.Department of Medical and Surgical Sciences and Translational Medicine, Sant'Andrea Hospital, Faculty of Medicine and Psychology University of Rome "Sapienza" Italy.Department of Medical and Surgical Sciences and Translational Medicine, Sant'Andrea Hospital, Faculty of Medicine and Psychology University of Rome "Sapienza" Italy.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

26722586

Citation

Guarino, Antonella, et al. "Conservative and Timely Treatment in Retained Products of Conception: a Case Report of Placenta Accreta Ritention." International Journal of Clinical and Experimental Pathology, vol. 8, no. 10, 2015, pp. 13625-9.
Guarino A, Di Benedetto L, Assorgi C, et al. Conservative and timely treatment in retained products of conception: a case report of placenta accreta ritention. Int J Clin Exp Pathol. 2015;8(10):13625-9.
Guarino, A., Di Benedetto, L., Assorgi, C., Rocca, A., & Caserta, D. (2015). Conservative and timely treatment in retained products of conception: a case report of placenta accreta ritention. International Journal of Clinical and Experimental Pathology, 8(10), 13625-9.
Guarino A, et al. Conservative and Timely Treatment in Retained Products of Conception: a Case Report of Placenta Accreta Ritention. Int J Clin Exp Pathol. 2015;8(10):13625-9. PubMed PMID: 26722586.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Conservative and timely treatment in retained products of conception: a case report of placenta accreta ritention. AU - Guarino,Antonella, AU - Di Benedetto,Luisa, AU - Assorgi,Chiara, AU - Rocca,Alessandra, AU - Caserta,Donatella, Y1 - 2015/10/01/ PY - 2015/08/06/received PY - 2015/09/25/accepted PY - 2016/1/2/entrez PY - 2016/1/2/pubmed PY - 2016/12/15/medline KW - Retained products of conception KW - placenta accreta KW - postpartum bleeding SP - 13625 EP - 9 JF - International journal of clinical and experimental pathology JO - Int J Clin Exp Pathol VL - 8 IS - 10 N2 - The term retained products of conception (RPOC) refers to intrauterine tissue that develops after conception and persists after medical and surgical pregnancy termination, miscarriage, and vaginal or cesarean delivery. One of the most important factor risk for RPOC is placenta accreta, defined as "the abnormal adherence, either in whole or in part, of the afterbirth to the underlying uterine wall". We report a case of a 37 years old woman referred to our gynecologic department with irregular vaginal bleeding. On her medical history, she had a cesarean occurred 3 months before. Ultrasonography revealed in the uterine cavity hyperechoic mass, treated with curettage. Two weeks later the curettage, patient complained still vaginal bleeding. On the transvaginal ultrasound, the uterine cavity was occupied again by a hyperechoic mass. She underwent to hysteroscopic resection and histological diagnosis was compatible with placenta accreta residual. In the follow up she had not complications. Early diagnosis, prompt evaluation of bleeding is important for timely treatment and for preventing immediate complications and demolitive approach. A careful follow up is necessary to prevent late consequences. The purpose of this study is to report our experience in timely diagnosis and conservative management. SN - 1936-2625 UR - https://www.unboundmedicine.com/medline/citation/26722586/Conservative_and_timely_treatment_in_retained_products_of_conception:_a_case_report_of_placenta_accreta_ritention_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/26722586/ DB - PRIME DP - Unbound Medicine ER -