E. Lemercier et al., MR imaging of placenta accreta treated by embolization: case report and review of the literature, J RADIOLOG, 80(4), 1999, pp. 383-387
Placenta accreta results from an abnormal attachment of the placenta to the
uterine myometrium. The reported incidence in literature is variable, with
an average of 1/7000 pregnancies. This condition is associated with a sign
ificant risk of bleeding at the time of delivery, usually requiring hystere
ctomy. Sonography associated with color Doppler is useful for diagnosis, bu
t MRI can be used successfully to evaluate the degree of placental tissue i
nvading into the myometrium, the serosa, and for follow-up after conservati
ve management.
To our knownledge, only two cases of placenta accreta evaluated with MR and
six cases of placenta accreta treated by embolization have been reported i
n the literature. The authors report one case of placenta accreta treated s
uccessfully by embolization, and followed-up by MRI.