Abstract
BackgroundWe present a case involving conservative treatment of placenta accreta, with a subsequent diagnosis of Asherman’s syndrome.Case presentationA 41-year-old Japanese woman (G2P0A2) delivered a healthy male infant via cesarean section due to preeclampsia. The placenta did not spontaneously separate and was manually removed. Adhesion was tight and placenta accreta was diagnosed. During the procedure, no uterine inversion or perforation, and no uterine cavity adhesion, were observed. Four months postoperatively, hysteroscopy was performed. Adhesion was detected at the fundus of her uterus where the placenta had adhered to the uterus. Asherman’s syndrome was diagnosed.ConclusionsAsherman’s syndrome might occur after conservative management of placenta accreta, which may be a direct cause of placenta accreta recurrence. When Asherman’s syndrome is diagnosed, the site of the placenta and adhesion should be monitored during subsequent pregnancies.
Highlights
We present a case involving conservative treatment of placenta accreta, with a subsequent diagnosis of Asherman’s syndrome.Case presentation: A 41-year-old Japanese woman (G2P0A2) delivered a healthy male infant via cesarean section due to preeclampsia
The site of adhesion in the uterine cavity matched the location of the placenta accreta
Some reports exist regarding direct treatment with hysteroscopy for placenta accreta [5, 6], there are no previous reports of hysteroscopic observations following conservative treatment alone
Summary
Several recent reports have discussed the conservative management of placenta accreta [1, 2]; no established method currently exists. The management of subsequent pregnancies after conservative treatment of placenta accreta has not been established. The recurrence rate of placental attachment disorder during subsequent pregnancies after conservative management of placenta accreta was reported to be 20% [3]. We present a case involving conservative treatment of placenta accreta, with a subsequent diagnosis of Asherman’s syndrome. Ultrasound findings during the second and third trimesters were not indicative of placenta accreta She developed preeclampsia during the 36th week of gestation and underwent caesarean section. On postoperative day 3, the balloon was removed and there was no active bleeding this time. One month postoperatively, she had no abnormal complaints.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
