---

A case report of a first trimester missed abortion which unfolded into an emergency subtotal hysterectomy

---

Case Report

Author Details : Parameswari Manickavasagam, Suganya Pattabiraman*, Sornalakshmi Annadurai, Rajalakshmi Mahendran

Volume : 11, Issue : 4, Year : 2024

Article Page : 680-682

https://doi.org/10.18231/j.ijogr.2024.123

Suggest article by email

Get Permission

---

Abstract

Placenta Accreta Spectrum (PAS) encompasses various degrees of abnormal placental attachment, where the decidual basalis is compromised, allowing chorionic villi to invade into or beyond the myometrium. This invasion is difficult to diagnose in first trimester ultrasound. PAS results in incomplete separation of the placenta and subsequent hemorrhage which can be life threatening to the mother. We present a case of a woman with previous two LSCS presenting in first trimester with missed abortion wherein a Manual Vaccuum Aspiration was followed by uncontrollable hemorrhage necessitating a hysterectomy and a retrospective diagnosis of placenta increta. The primary modality of imaging in first trimester -the ultrasound - is not reliable to diagnose placenta accreta syndrome and additional inputs may be needed to make this diagnosis in the first trimester
 

Keywords: Hemorrhage, Previous uterine scar, Placenta accreta spectrum, First trimester imaging.

How to cite : Manickavasagam P, Pattabiraman S, Annadurai S, Mahendran R, A case report of a first trimester missed abortion which unfolded into an emergency subtotal hysterectomy. Indian J Obstet Gynecol Res 2024;11(4):680-682

This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.