Complex Radiological Diagnosis of Placenta Increta: Case Report

Abstract

One of the actual problems of modern obstetrics is the obstetric bleedings at the postnatal period. The abnormal attachment of placenta is the most significant reason for postnatal bleedings, making 36% of cases of maternal mortality of blood loss. Clinical case of pregnant P, 37 years old, with the verified case of placenta increta is presented. Opportunities of the set of radiological methods of diagnostic (US and MRI) for searching of abnormal attachment of placenta are shown. Ultrasound findings: the placenta is on the front wall of a uterus, completely blocks the area of internal os with transition to a back wall of a uterus, on some sites lack of the border between miometry and placentary tissue is seen on imaging. Color Doppler shows multiple lacunas with a turbulent blood flow. MRI data (T1, T2 (FASE), T2 SSFP): the placenta is located on the front, back and right side of uterus walls, going down to internal os, completely blocking it. In the area of a postsurgical scar throughout 35 mm, the heterogeneity of miometry due to existence of the expanded spiral vessel visually not separating from a back wall of a bladder is noted. Cesarean delivery was carried out at 35 weeks according to vital indications.. During the operation there was revealed an extensive germination of placenta into the lower segment of the uterus which demanded the metroplastic by Petrovsky.