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Placenta accreta in the first trimester of pregnancy: Sonographic findings
Author(s) -
Wong Hong Soo,
Zuccollo Jane,
Tait John,
Pringle, Kevin Craig
Publication year - 2009
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.20487
Subject(s) - placenta accreta , medicine , myometrium , placenta , obstetrics , gestation , second trimester , pregnancy , decidua , placenta diseases , decidual cells , ultrasound , gynecology , uterus , fetus , endocrinology , radiology , biology , genetics
In a case of histologically confirmed placenta increta, decidual protrusion into the myometrium was observed sonographically at 6 weeks' gestation, corresponding to placental protrusion from a disrupted placental–uterine wall interface seen in the later part of the first and second trimester. It is hypothesized that the histologic finding of decidual scarcity in placenta accreta is not a cause but rather an end result of the recruitment of trophoblasts across the decidual–placental interface in a maternal attempt at healing and/or repair in the presence of uterine injury, disease, or malformation that accounts for the associated factors and course of the condition. © 2008 Wiley Periodicals, Inc. J Clin Ultrasound, 2009