Medical Journal of Indonesia Vol. 31 No. 2 2022 FKUI
Case Report/Series Placenta Accreta Spectrum Disorder in A Primigravida with Angular Pregnancy: A Case Report
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Title
Medical Journal of Indonesia Vol. 31 No. 2 2022 FKUI
Case Report/Series Placenta Accreta Spectrum Disorder in A Primigravida with Angular Pregnancy: A Case Report
Case Report/Series Placenta Accreta Spectrum Disorder in A Primigravida with Angular Pregnancy: A Case Report
Subject
angular pregnancy, case report, placenta accreta
Description
Placenta accreta spectrum (PAS) is characterized by abnormal invasion of placental
tissue into the underlying uterine muscles and has an incidence of 1/533–1/251. The
incidence of complications includes uterine rupture (14–29%), PAS (6–10%), and retained
placenta or incomplete placenta removal (4%). Here, we described a rare case of PAS
and angular pregnancy, including how to diagnose and manage it preoperatively.
A 32-year-old primigravida diagnosed at 24 weeks of gestation with a right angular
pregnancy was admitted due to preterm premature rupture of membrane (PPROM)
with a singleton fetus. We decided to perform hysterotomy because of the PPROM and
intrauterine infection. Intraoperatively, we found PAS in the right angular pregnancy;
therefore, we performed uterine conservative management with wedge resection
on the right uterine fundus. Intraoperative bleeding was 1,600 cc. Histopathological
examination revealed placenta increta. The maternal prognosis was good, while the
fetus was poor, with an APGAR score of 1/1/0.
tissue into the underlying uterine muscles and has an incidence of 1/533–1/251. The
incidence of complications includes uterine rupture (14–29%), PAS (6–10%), and retained
placenta or incomplete placenta removal (4%). Here, we described a rare case of PAS
and angular pregnancy, including how to diagnose and manage it preoperatively.
A 32-year-old primigravida diagnosed at 24 weeks of gestation with a right angular
pregnancy was admitted due to preterm premature rupture of membrane (PPROM)
with a singleton fetus. We decided to perform hysterotomy because of the PPROM and
intrauterine infection. Intraoperatively, we found PAS in the right angular pregnancy;
therefore, we performed uterine conservative management with wedge resection
on the right uterine fundus. Intraoperative bleeding was 1,600 cc. Histopathological
examination revealed placenta increta. The maternal prognosis was good, while the
fetus was poor, with an APGAR score of 1/1/0.
Creator
Abarham Martadiansyah, Nuswil Bernolian, Putri Mirani, Peby Maulina Lestari, Citra Dewi, Wim Theodorus Pangemanan, Ahmad Kurdi Syamsuri, Muhammad Hatta Ansori, Cindy Kesty
Date
August 08, 2022
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Citation
Abarham Martadiansyah, Nuswil Bernolian, Putri Mirani, Peby Maulina Lestari, Citra Dewi, Wim Theodorus Pangemanan, Ahmad Kurdi Syamsuri, Muhammad Hatta Ansori, Cindy Kesty, “Medical Journal of Indonesia Vol. 31 No. 2 2022 FKUI
Case Report/Series Placenta Accreta Spectrum Disorder in A Primigravida with Angular Pregnancy: A Case Report,” Repository Horizon University Indonesia, accessed February 5, 2025, https://repository.horizon.ac.id/items/show/1052.
Case Report/Series Placenta Accreta Spectrum Disorder in A Primigravida with Angular Pregnancy: A Case Report,” Repository Horizon University Indonesia, accessed February 5, 2025, https://repository.horizon.ac.id/items/show/1052.