First trimester placenta accreta: a rare clinical entity and diagnostic dilemma
First trimester placenta accreta is a rare occurrence but potential life threatening and catastrophic. Most of these cases ended up with emergency hysterectomy. We report a case of incidental finding of placental accreta during evacuation of retained product of conception (ERPOC) for missed miscarri...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Pusat Perubatan Universiti Kebangsaan Malaysia
2017
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| Online Access: | http://journalarticle.ukm.my/12286/ http://journalarticle.ukm.my/12286/1/10._ng_et_al.pdf |
| _version_ | 1848812960845135872 |
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| author | Ng, Beng Kwang Wang, PY Ng, WYL Mohammed F, Lim, Pei Shan Mahdy ZA, |
| author_facet | Ng, Beng Kwang Wang, PY Ng, WYL Mohammed F, Lim, Pei Shan Mahdy ZA, |
| author_sort | Ng, Beng Kwang |
| building | UKM Institutional Repository |
| collection | Online Access |
| description | First trimester placenta accreta is a rare occurrence but potential life threatening and catastrophic. Most of these cases ended up with emergency hysterectomy. We report a case of incidental finding of placental accreta during evacuation of retained product of conception (ERPOC) for missed miscarriage. A 33-year-old, Gravida 4 Para 2 + 1 at 15 weeks’ gestation admitted for missed miscarriage, failed medical evacuation requiring ERPOC. There was excessive bleeding during the procedure and required hysterectomy and bilateral internal iliac artery ligation. Histopathological examination confirmed products of conception with evidence of placenta accreta. This case highlighted the diagnostic dilemma and importance of early accurate diagnosis of placental accreta prior to any surgical intervention for miscarriage. |
| first_indexed | 2025-11-15T00:10:36Z |
| format | Article |
| id | oai:generic.eprints.org:12286 |
| institution | Universiti Kebangasaan Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T00:10:36Z |
| publishDate | 2017 |
| publisher | Pusat Perubatan Universiti Kebangsaan Malaysia |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | oai:generic.eprints.org:122862018-11-02T21:54:35Z http://journalarticle.ukm.my/12286/ First trimester placenta accreta: a rare clinical entity and diagnostic dilemma Ng, Beng Kwang Wang, PY Ng, WYL Mohammed F, Lim, Pei Shan Mahdy ZA, First trimester placenta accreta is a rare occurrence but potential life threatening and catastrophic. Most of these cases ended up with emergency hysterectomy. We report a case of incidental finding of placental accreta during evacuation of retained product of conception (ERPOC) for missed miscarriage. A 33-year-old, Gravida 4 Para 2 + 1 at 15 weeks’ gestation admitted for missed miscarriage, failed medical evacuation requiring ERPOC. There was excessive bleeding during the procedure and required hysterectomy and bilateral internal iliac artery ligation. Histopathological examination confirmed products of conception with evidence of placenta accreta. This case highlighted the diagnostic dilemma and importance of early accurate diagnosis of placental accreta prior to any surgical intervention for miscarriage. Pusat Perubatan Universiti Kebangsaan Malaysia 2017 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/12286/1/10._ng_et_al.pdf Ng, Beng Kwang and Wang, PY and Ng, WYL and Mohammed F, and Lim, Pei Shan and Mahdy ZA, (2017) First trimester placenta accreta: a rare clinical entity and diagnostic dilemma. Journal of Surgical Academia, 7 (2). pp. 39-42. ISSN 2231-7481 http://jsurgacad.com/toc/7/2 |
| spellingShingle | Ng, Beng Kwang Wang, PY Ng, WYL Mohammed F, Lim, Pei Shan Mahdy ZA, First trimester placenta accreta: a rare clinical entity and diagnostic dilemma |
| title | First trimester placenta accreta: a rare clinical entity and diagnostic dilemma |
| title_full | First trimester placenta accreta: a rare clinical entity and diagnostic dilemma |
| title_fullStr | First trimester placenta accreta: a rare clinical entity and diagnostic dilemma |
| title_full_unstemmed | First trimester placenta accreta: a rare clinical entity and diagnostic dilemma |
| title_short | First trimester placenta accreta: a rare clinical entity and diagnostic dilemma |
| title_sort | first trimester placenta accreta: a rare clinical entity and diagnostic dilemma |
| url | http://journalarticle.ukm.my/12286/ http://journalarticle.ukm.my/12286/ http://journalarticle.ukm.my/12286/1/10._ng_et_al.pdf |