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Case Report
Vasa previa in unrecognized placenta accreta
1 Department of Obstetrics, Gynecology, and Reproductive Sciences, Rutgers – Robert Wood Johnson Medical School, Clinical Academ, New Jersey, New Brunswick, USA
2 Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology, and Reproductive Sciences, Rutgers – Robert Wood Johnson Medical School, Clinical Academ, New Jersey, New Brunswick, USA
Address correspondence to:
Haylea Sweat-Patrick
MD, Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology, and Reproductive Sciences, Rutgers – Robert Wood Johnson Medical School, Clinical Academic Building, 125 Paterson Street, #4200, New Brunswick, NJ 08901,
USA
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Article ID: 100041Z08JN2018
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How to cite this article
Ng J, Patrick HS. Vasa previa in unrecognized placenta accreta. J Case Rep Images Obstet Gynecol 2018;4:100041Z08JN2018.ABSTRACT
Introduction: Vasa previa and placenta accreta are both associated with significant morbidity and mortality. Vasa previa poses the risk of fetal exsanguination from ruptured fetal vessels with potential for devastating fetal effects including perinatal death. Placenta accreta is associated with maternal hemorrhage and mortality. This is the first report of the co-existance of vasa previa and placenta accreta.
Case Report: We present a case of an antenatally suspected vasa previa in which a concurrent placenta accreta was diagnosed intraoperatively at the time of cesarean delivery. Although morbidly adherent placentation was not suspected preoperatively, appropriate intraoperative management with cesarean hysterectomy resulted in good maternal and neonatal outcomes.
Conclusion: This is the first published case, to our knowledge, of a vasa previa with concurrent placenta accreta. While morbidity for both these conditions is high, prompt recognition and management in this case resulted in good outcomes.
Keywords: Bilobed placenta, Placenta accreta, Placenta previa, Vasa previa
SUPPORTING INFORMATION
Author Contributions
June Ng - Substantial contributions to conception and design, Analysis of data, Drafting the article, Final approval of the version to be published
Haylea Sweat-Patrick - Substantial contributions to conception and design, Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this clinical image.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2018 June Ng et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
