EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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 ISSN 2394-3211

Impact Factor: 6.222

 ICV - 79.57

Abstract

PLACENTA ACCRETA, ABOUT A CASE

Yassine Edahri*, Pr. Aziz Baydada, Pr. Amina Lakhdar, Pr. Najia Zraidi, Dr. Intissar Benzina and
Dr. Benmouna Imane

ABSTRACT

Placenta accréta is an adhesion abnormality of the placenta responsible for abnormal myometrial invasion by tissue and trophoblastic tissue. Depending on the degree of myometrium involvement, we can distinguish placenta accreta (<50% myometrium), placenta increta (> 50% myometrium) and placenta percreta (affected beyond the serosa and neighboring organs). The pathophysiological mechanism remains unknown, processes involving increased secretion of placental invading factors by the cytotrophoblast, excessive vascular remodeling or a combination of the two appear to be partly to blame. The main risk factors are dominated by the history of cesarean section and uterine surgery. Endo-uterine procedures such as haemostatic curettage, hysteroscopy as well as a history of endometritis are increasingly correlated with the occurrence of placenta accreta. Conventional 2D ultrasound is the gold standard for screening for placenta accreta. Magnetic reasoning imaging does not have better diagnostic sensitivity than ultrasound, but it remains more effective in determining the degree of myometrial invasion, particularly in cases of posterior placenta and suspicion of a percreta placenta. The definitive diagnosis is pathological. The numerous mainly hemorrhagic complications observed during the placenta accreta, that may affect the vital prognosis of the mother and the fetus, require early detection and strict and regular pregnancy monitoring as well as multidisciplinary care. The principle of treatment is based either on radical treatment by hysterectomy, conservative treatment can be discussed in certain cases, in particular to preserve fertility. embolization of the uterine arteries is proposed especially in case of conservative treatment. We report the case of a placenta acrreta in a parturient admitted to the emergency department of the souissi rabat maternity unit. The aim of our study is to shed light on the main risk factors and pathophysiological mechanisms that can induce a placenta accreta as well as the different diagnostic and therapeutic modalities.

Keywords: placenta accreta, scarred uterus, endo uterine gestures, hysterectomy.


[Full Text Article]

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI )