Indian Journal of Public Health Research & Development

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An Unusual Cause of Menorrhagia-a Case Report


Affiliations
1 Department of Obstetrics and Gynaecology, P.S.G. Institute of Medical Sciences & Research, Coimbatore, Tamil Nadu, India
2 Department of Pathology, P.S.G. Institute of Medical Sciences & Research, Coimbatore, Tamil Nadu, India
     

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Placenta percreta in early pregnancy is rare and only few cases have been diagnosed and documented. We report a case of a woman with history of previous caesarean section who presented with heavy bleeding per vaginum. She underwent first trimester pregnancy termination by medical abortion following which she had regular cycles for 4 months. Sonography revealed features of invasive mole and because of persistent heavy bleeding per vaginum we had to resort to hysterectomy. Histopathological examination revealed a placenta percreta. We must be aware of this rare entity in this era of increasing caesarean section rate as it can lead to significant mortality and morbidity. Therefore, we report this case with a brief review of literature.

Keywords

Placenta Percreta, Pregnancy Termination, Menorrhagia
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  • An Unusual Cause of Menorrhagia-a Case Report

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Authors

B. Devi
Department of Obstetrics and Gynaecology, P.S.G. Institute of Medical Sciences & Research, Coimbatore, Tamil Nadu, India
Reena Abraham
Department of Obstetrics and Gynaecology, P.S.G. Institute of Medical Sciences & Research, Coimbatore, Tamil Nadu, India
Alamelu Jayaraman
Department of Pathology, P.S.G. Institute of Medical Sciences & Research, Coimbatore, Tamil Nadu, India

Abstract


Placenta percreta in early pregnancy is rare and only few cases have been diagnosed and documented. We report a case of a woman with history of previous caesarean section who presented with heavy bleeding per vaginum. She underwent first trimester pregnancy termination by medical abortion following which she had regular cycles for 4 months. Sonography revealed features of invasive mole and because of persistent heavy bleeding per vaginum we had to resort to hysterectomy. Histopathological examination revealed a placenta percreta. We must be aware of this rare entity in this era of increasing caesarean section rate as it can lead to significant mortality and morbidity. Therefore, we report this case with a brief review of literature.

Keywords


Placenta Percreta, Pregnancy Termination, Menorrhagia

References