Affiliation:
1. S
2. Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, Uttar Pradesh, India
Abstract
Placenta percreta is the most invasive form of placenta accreta spectrum (PAS) in which there is full thickness invasion of uterine wall by villous tissue through the serosa. Omental deciduosis is a benign transient condition uncommonly encountered during pregnancy. It can mimic granulomatous pathology and various metastatic carcinomas both grossly and microscopically. We report a case of 28 year Rh negative, female, primigravida who presented with amenorrhea since 7.5 months and absent fetal movements since 1 day. Ultrasonography depicted fetus with 33 weeks POG with intrauterine fetal death with breech presentation and severe oligohydramnios. Patient underwent laparotomy and subtotal hysterectomy along with extraction of fetus and omentectomy. Histopathology findings revealed placenta percreta and omental deciduosis.This case is reported as the concomitant existence of both placenta percreta and omental deciduosis in a single primigravida patient is an extremely rare occurrence.
Publisher
IP Innovative Publication Pvt Ltd
Reference8 articles.
1. Jauniaux E, Collins S, Burton G J, Placenta accreta spectrum: pathophysiology and evidence-based anatomy for prenatal ultrasound imaging.Am J Obstet Gynecol 2018;218(1):75-87
2. Khong T Y, The pathology of placenta accreta, a worldwide epidemic.J Clin Pathol 2008;61(12):1243-6
3. Hubinont C, Mhallem M, Baldin P, Debieve F, Bernard P, Jauniaux E, A clinico-pathologic study of placenta percreta.Int J Gynecol Obstet 2018;140(3):365-9
4. Adhikari L J, Shen R, Florid diffuse peritoneal deciduosis mimicking carcinomatosis in a primigravida patient: a case report and review of the literature.Int J Clin Exp Pathol 2013;6(11):2615-9
5. Khajuria R, Sharma S, Singh K, Peritoneal Deciduosis: A Case Report.JK Sci 2015;17(2):102-3