1. Accurate prenatal discrimination of placenta accreta spectrum from uterine dehiscence is necessary to ensure optimal management
- Author
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Theophilus Kofi Adu-Bredu, Sally Collins, and Atta Owusu-Bempah
- Subjects
Adult ,medicine.medical_specialty ,Placenta accreta ,Placenta ,Placenta Previa ,Placenta Accreta ,Dehiscence ,Ultrasonography, Prenatal ,03 medical and health sciences ,0302 clinical medicine ,Obstetrics and gynaecology ,Pregnancy ,Prenatal Diagnosis ,Medicine ,Humans ,030212 general & internal medicine ,Uterine Dehiscence ,reproductive and urinary physiology ,030219 obstetrics & reproductive medicine ,business.industry ,Obstetrics ,Cesarean Section ,General Medicine ,medicine.disease ,Optimal management ,medicine.anatomical_structure ,embryonic structures ,Full thickness ,Female ,business - Abstract
Uterine scar dehiscence with underlying placenta is often misdiagnosed as placenta accreta spectrum both prenatally and intraoperatively due to the absence of myometrial tissue in the area. Misdiagnosis generates obstetric anxiety and results in overtreatment which carries a risk of iatrogenic injury. We present a case of the antenatal diagnosis of uterine dehiscence in a 36-year-old woman with a history of two caesarean deliveries and a low-lying placenta. We further describe the sonographic features useful for differentiating this condition from placenta accreta spectrum in instances where the placenta lies under an area of full thickness uterine scar dehiscence.
- Published
- 2023