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

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초록

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.

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.

참고문헌 (9)

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  5. Ju W, "Placenta increta after first-trimester dilatation and curettage manifesting as an unusual uterine mass : magnetic resonance findings", Acta Radiol, 48, pp.938~940 (2007)
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  8. Woolcott RJ, "A case of placenta percreta presenting in the first trimester of pregnancy", Aust N Z J Obstet Gynaecol, 27, pp.258~260 (1987)
  9. Kayem G, "Conservative versus extirpative management in cases of placenta accreta", Obstet Gynecol, 104, pp.531~536 (2004)

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