Uterine window and placenta accreta spectrum in a dichorionic, diamniotic twin gestation complicated by postpartum hemorrhage

Ishwarya Sivakumar, BS; Marika Toscano, MD; Erin Gomez, MD

Radiology Case Reports (Dec 2024)

Uterine window and placenta accreta spectrum in a dichorionic, diamniotic twin gestation complicated by postpartum hemorrhage

Ishwarya Sivakumar, BS,
Marika Toscano, MD,
Erin Gomez, MD

Affiliations

Ishwarya Sivakumar, BS: Johns Hopkins University School of Medicine, 733 N Broadway, Baltimore, MD 21231, USA; Corresponding author.
Marika Toscano, MD: Division of Maternal-Fetal Medicine, Department of Gynecology & Obstetrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA
Erin Gomez, MD: The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, 733 N Broadway, Baltimore, MD 21205, USA

Journal volume & issue: Vol. 19, no. 12
pp. 6097 – 6102

Abstract

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Cesarean scar defects encompass a spectrum of separation of the uterine layers that increase risk of uterine rupture during labor and delivery. When coupled with the presence of placenta accreta spectrum, a condition characterized by abnormal adherence to or invasion of the myometrium by the placenta, the risk of life-threatening hemorrhage significantly increases. As rates of cesarean delivery increase, it is important to understand the imaging findings typical of both conditions. We present the case of a 30-year-old patient with a dichorionic, diamniotic twin gestation complicated by uterine window and placenta accreta spectrum.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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