Obstet Gynecol Sci.  2013 May;56(3):205-207.

Retained placenta accreta after a first-trimester abortion manifesting as an uterine mass

• Lim S
• Ha SY
• Lee KB
• Lee JS

Abstract

Placenta accreta during the first trimester of pregnancy is rare. Only a few cases of placenta accreta manifesting as a uterine mass have been published. Most patients with placenta accreta present with vaginal bleeding during or after pregnancy. This report describes a patient with placenta accreta that caused vaginal bleeding three years after a first trimester abortion. The patient had regular menstruation for three years after the abortion. Initially endometrial cancer or a uterine myoma with degeneration was suspected. This is the first report of a placenta accreta detected as a uterine mass long after a first trimester abortion with delayed vaginal bleeding.

Keyword

Placenta accrete; Abortion; Uterine neoplasm

MeSH Terms

Endometrial Neoplasms
Female
Humans
Menstruation
Myoma
Placenta Accreta
Placenta, Retained
Pregnancy
Pregnancy Trimester, First
Uterine Hemorrhage
Uterine Neoplasms

Figure

• 

  Fig. 1 Vaginal ultrasonography shows complex solid and cystic mass in the uterine wall. No vascular flow was noted in the lesion.

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  Fig. 2 The histopathologic examination revealed chorionic villi adherent to myometrium without intervening deciduas (H&E, ×100).

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