Placenta Accreta, Increta, and Parcreta

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Introduction

Placenta accreta is a placental invasion into the myometrium.

 

The Case of...

a simple case introducing clincial presentation and calling for a differential diagnosis to get students thinking.

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Causes and Risk Factors

Increased incidence due to increased rates of C/S.

Placenta previa +/- prior uterine surgery.

Prior C/S or any uterine surgery.

Asherman's syndrome.

Submucous leiomomata (fibroids)

Maternal age >35

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Pathophysiology

 

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Signs and Symptoms

  • history
  • physical exam

History

 

Physical Exam

 

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Investigations

  • lab investigations
  • diagnostic imaging

Lab Investigations

Diagnostic Imaging

Ultrasound is usually used to diagnose.

MRI may be helpful as needed.

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Differential Diagnosis

 

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Treatments

Delivery in

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Consequences and Course

 

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Resources and References

 

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Topic Development

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