Retained Placenta Creta After Selective Fetal Reduction in Twin Pregnancy: A Case Report

Abstract. Placenta accreta spectrum (PAS) disorders are severe obstetric complications and can cause life-threatening hemorrhage, hysterectomy, or even death. PAS disorders in one of dichorionic diamniotic twins are rare to be seen in clinical practice and lack of standard management strategies. We...

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Autores principales:	Weiran Zheng, Xinrui Yang, Yuchun Zhu, Jie Yan, Huixia Yang, Yang Pan
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer Health 2021
Materias:	Gynecology and obstetrics RG1-991
Acceso en línea:	https://doaj.org/article/6e94e0e644ad4807acb2be7b6eed7abe
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spelling	oai:doaj.org-article:6e94e0e644ad4807acb2be7b6eed7abe2021-11-25T07:59:21ZRetained Placenta Creta After Selective Fetal Reduction in Twin Pregnancy: A Case Report2641-589510.1097/FM9.0000000000000117https://doaj.org/article/6e94e0e644ad4807acb2be7b6eed7abe2021-10-01T00:00:00Zhttp://journals.lww.com/10.1097/FM9.0000000000000117https://doaj.org/toc/2641-5895Abstract. Placenta accreta spectrum (PAS) disorders are severe obstetric complications and can cause life-threatening hemorrhage, hysterectomy, or even death. PAS disorders in one of dichorionic diamniotic twins are rare to be seen in clinical practice and lack of standard management strategies. We reported a case of retained placenta creta after selective fetal reduction in one of dichorionic diamniotic twins. A 32-year-old woman with a history of cesarean section was diagnosed with placenta increta in one of dichorionic diamniotic twins at 16 weeks of gestation. After discussion, the couple required to be hospitalized for selective fetal reduction. She received selective termination by ultrasound-guided single fetal intracardiac injection of potassium chloride. The follow-up prenatal ultrasound examinations detected the placenta of the reduced fetus did not stop invade the myometrium of the uterus but developed from placenta increta to placenta percreta. The patient was diagnosed with placental percreta by prenatal ultrasound signs and surgical findings. The patient underwent scheduled cesarean delivery at 34+5 gestational weeks. The outcome of maternal and fetal was satisfactory for our elaborate operation and optimal management. PAS disorders are severe obstetric complications with an increasing incidence. Combined with twin pregnancy makes PAS disorders more intractable. We should learn that selective fetal reduction probably cannot solve it thoroughly. Intensive and standard management is essential to promote maternal and fetal outcomes.Weiran ZhengXinrui YangYuchun ZhuJie YanHuixia YangYang PanWolters Kluwer HealtharticleGynecology and obstetricsRG1-991ENMaternal-Fetal Medicine, Vol 3, Iss 4, Pp 281-284 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Gynecology and obstetrics RG1-991
spellingShingle	Gynecology and obstetrics RG1-991 Weiran Zheng Xinrui Yang Yuchun Zhu Jie Yan Huixia Yang Yang Pan Retained Placenta Creta After Selective Fetal Reduction in Twin Pregnancy: A Case Report
description	Abstract. Placenta accreta spectrum (PAS) disorders are severe obstetric complications and can cause life-threatening hemorrhage, hysterectomy, or even death. PAS disorders in one of dichorionic diamniotic twins are rare to be seen in clinical practice and lack of standard management strategies. We reported a case of retained placenta creta after selective fetal reduction in one of dichorionic diamniotic twins. A 32-year-old woman with a history of cesarean section was diagnosed with placenta increta in one of dichorionic diamniotic twins at 16 weeks of gestation. After discussion, the couple required to be hospitalized for selective fetal reduction. She received selective termination by ultrasound-guided single fetal intracardiac injection of potassium chloride. The follow-up prenatal ultrasound examinations detected the placenta of the reduced fetus did not stop invade the myometrium of the uterus but developed from placenta increta to placenta percreta. The patient was diagnosed with placental percreta by prenatal ultrasound signs and surgical findings. The patient underwent scheduled cesarean delivery at 34+5 gestational weeks. The outcome of maternal and fetal was satisfactory for our elaborate operation and optimal management. PAS disorders are severe obstetric complications with an increasing incidence. Combined with twin pregnancy makes PAS disorders more intractable. We should learn that selective fetal reduction probably cannot solve it thoroughly. Intensive and standard management is essential to promote maternal and fetal outcomes.
format	article
author	Weiran Zheng Xinrui Yang Yuchun Zhu Jie Yan Huixia Yang Yang Pan
author_facet	Weiran Zheng Xinrui Yang Yuchun Zhu Jie Yan Huixia Yang Yang Pan
author_sort	Weiran Zheng
title	Retained Placenta Creta After Selective Fetal Reduction in Twin Pregnancy: A Case Report
title_short	Retained Placenta Creta After Selective Fetal Reduction in Twin Pregnancy: A Case Report
title_full	Retained Placenta Creta After Selective Fetal Reduction in Twin Pregnancy: A Case Report
title_fullStr	Retained Placenta Creta After Selective Fetal Reduction in Twin Pregnancy: A Case Report
title_full_unstemmed	Retained Placenta Creta After Selective Fetal Reduction in Twin Pregnancy: A Case Report
title_sort	retained placenta creta after selective fetal reduction in twin pregnancy: a case report
publisher	Wolters Kluwer Health
publishDate	2021
url	https://doaj.org/article/6e94e0e644ad4807acb2be7b6eed7abe
work_keys_str_mv	AT weiranzheng retainedplacentacretaafterselectivefetalreductionintwinpregnancyacasereport AT xinruiyang retainedplacentacretaafterselectivefetalreductionintwinpregnancyacasereport AT yuchunzhu retainedplacentacretaafterselectivefetalreductionintwinpregnancyacasereport AT jieyan retainedplacentacretaafterselectivefetalreductionintwinpregnancyacasereport AT huixiayang retainedplacentacretaafterselectivefetalreductionintwinpregnancyacasereport AT yangpan retainedplacentacretaafterselectivefetalreductionintwinpregnancyacasereport
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Retained Placenta Creta After Selective Fetal Reduction in Twin Pregnancy: A Case Report

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