Presentation
Pregnant patient G1P0A0C0, pelvic discomfort. Previous vaginal bleeding.
Patient Data
Loading images...
Ultrasound shows a placenta in a suitable location. Loss of the retroplacental-myometrial interface. The placenta is heterogeneous, with multiple tortuous hypoechoic structures within it (“Swiss cheese” placental appearance). Doppler US demonstrates turbulent flow (Placental Lacunae). There is a high velocity (peak systolic velocity of 19.7 cm/s).
The fetus is morphologically normal. Gestational age of 17.5 weeks by ultrasound.
Case Discussion
The findings correspond to a placenta accreta1-3.
The patient is nulliparous, without any previous uterine surgery or
instrumentation. The placenta is in a suitable location.
This is a rare case of placenta accreta in a patient with no risk factors4.
Unable to process the form. Check for errors and try again.