Skip to main content
SpringerLink
Log in
Book cover

MRI of Fetal and Maternal Diseases in Pregnancy pp 269–285Cite as

Management and Surgery of Abnormal Invasive Placenta: Impact of MR Imaging

  • Chapter

Abstract

Abnormal invasive placenta describes a group of conditions that produce the abnormal infiltration of placental tissue into the uterus or also into the surrounding tissues. This condition usually produces severe complications for the mother, such as massive haemorrhage, organ damage, organ failure and even death [1]. Within the term “accreta”, different degrees of placental invasion are involved, named as placenta increta and percreta according to a histological classification, but they were also described as a group clinically termed abnormal invasive placenta [2, 3] (AIP). Increasing rates of caesarean are an emergent problem worldwide, and they are related to the exponential risk from AIP. Ultrasound and Doppler are regarded as excellent tools to perform a diagnosis in these cases [4, 5]. Although diagnostic accuracy in all methods is operator dependent, this problem is particularly important in ultrasound studies because image acquisition is personally guided by the operator. Recently, this question has been analysed in some papers and also the necessity to create an international consensus to establish the most accurate value to the diagnostic signs [6].

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Abbas F, Talati J, Wasti S, Akram S, Ghaffar S, Qureshi R (2000) Placenta percreta with bladder invasion as a cause of life threatening hemorrhage. J Urol 164(4):1270–1274

    Article  CAS  PubMed  Google Scholar 

  2. Guleria K, Gupta B, Agarwal S, Suneja A, Vaid N, Jain S (2013) Abnormally invasive placenta: changing trends in diagnosis and management. Acta Obstet Gynecol Scand 92(4):461–464

    Article  PubMed  Google Scholar 

  3. Chantraine F, Langhoff-Roos J (2013) Abnormally invasive placenta–AIP. Awareness and pro-active management is necessary. Acta Obstet Gynecol Scand 92(4):369–371

    Article  PubMed  Google Scholar 

  4. Comstock CH, Bronsteen RA (2014) The antenatal diagnosis of placenta accreta. BJOG 121(2):171–181

    Article  CAS  PubMed  Google Scholar 

  5. D’Antonio F, Iacovella C, Bhide A (2013) Prenatal identification of invasive placentation using ultrasound: systematic review and meta-analysis. Ultrasound Obstet Gynecol 42(5):509–517

    Article  PubMed  Google Scholar 

  6. Bowman ZS, Eller AG, Kennedy AM, Richards DS, Winter TC 3rd, Woodward PJ, Silver RM (2014) Interobserver variability of sonography for prediction of placenta accreta. J Ultrasound Med 33(12):2153–2158

    Article  PubMed  Google Scholar 

  7. Kay HH, Spritzer CE (1991) Preliminary experience with magnetic resonance imaging in patients with third-trimester bleeding. Obstet Gynecol 78(3 Pt 1):424–429

    CAS  PubMed  Google Scholar 

  8. Palacios-Jaraquemada JM, Bruno C (2000) Gadolinium-enhanced MR imaging in the differential diagnosis of placenta accreta and placenta percreta. Radiology 216(2):610–611

    Article  CAS  PubMed  Google Scholar 

  9. Palacios-Jaraquemada JM, Bruno CH (2005) Magnetic resonance imaging in 300 cases of placenta accreta: surgical correlation of new findings. Acta Obstet Gynecol Scand 84(8):716–724

    Article  PubMed  Google Scholar 

  10. Algebally AM, Yousef RR, Badr SS, Al Obeidly A, Szmigielski W, Al Ibrahim AA (2014) The value of ultrasound and magnetic resonance imaging in diagnostics and prediction of morbidity in cases of placenta previa with abnormal placentation. Pol J Radiol 79:409–416

    Article  PubMed Central  PubMed  Google Scholar 

  11. Palacios-Jaraquemada JM (2012) Placental adhesive disorders. DeGruyter Ed, Berlin

    Book  Google Scholar 

  12. Khong TY, Werger AC (2001) Myometrial fibers in the placental basal plate can confirm but do not necessarily indicate clinical placenta accreta. Am J Clin Pathol 116(5):703–708

    Article  CAS  PubMed  Google Scholar 

  13. Palacios-Jaraquemada JM, Bruno CH, Martín E (2013) MRI in the diagnosis and surgical management of abnormal placentation. Acta Obstet Gynecol Scand 92(4):392–397

    Article  PubMed  Google Scholar 

  14. Capechi E (1933) Placenta accreta abandonata in utero cesarizzato. Ritorno progressivo di questo allo stato normales enza alcuna complicanza (reasorbimiento autodigestione uterina della placenta?). Policlinic 40:347 [In Italian]

    Google Scholar 

  15. Alamo L, Anaye A, Rey J, Denys A, Bongartz G, Terraz S, Artemisia S, Meuli R, Schmidt S (2013) Detection of suspected placental invasion by MRI: do the results depend on observer’ experience? Eur J Radiol 82(2):e51–e57

    Article  PubMed  Google Scholar 

  16. Masselli G, Gualdi G (2013) MR imaging of the placenta: what a radiologist should know. Abdom Imaging 38(3):573–587

    Article  PubMed  Google Scholar 

  17. Palacios-Jaraquemada JM, Pesaresi M, Nassif JC, Hermosid S (2004) Anterior placenta percreta: surgical approach, hemostasis and uterine repair. Acta Obstet Gynecol Scand 83(8):738–744

    Article  PubMed  Google Scholar 

  18. Podrasky AE, Javitt MC, Glanc P, Dubinsky T, Harisinghani MG, Harris RD, Khati NJ, Mitchell DG, Pandharipande PV, Pannu HK, Shipp TD, Siegel CL, Simpson L, Wall DJ, Wong-You-Cheong JJ, Zelop CM (2013) ACR appropriateness Criteria® second and third trimester bleeding. Ultrasound Q 29(4):293–301

    Article  PubMed  Google Scholar 

  19. Palacios-Jaraquemada JM, Bruno CH, Clavelli WA (2007) Morbid adherent placenta: prediction, diagnosis and management. Fetal Matern Med Rev 18(4):357–381

    Google Scholar 

  20. D’Antonio F, Iacovella C, Palacios-Jaraquemada J, Bruno CH, Manzoli L, Bhide A (2014) Prenatal identification of invasive placentation using magnetic resonance imaging: systematic review and meta-analysis. Ultrasound Obstet Gynecol 44(1):8–16

    Article  PubMed  Google Scholar 

  21. Levine D, Hulka CA, Ludmir J, Li W, Edelman RR (1997) Placenta accreta: evaluation with color Doppler US, power Doppler US, and MR imaging. Radiology 205(3):773–776

    Article  CAS  PubMed  Google Scholar 

  22. Elhawary TM, Dabees NL, Youssef MA (2013) Diagnostic value of ultrasonography and magnetic resonance imaging in pregnant women at risk for placenta accreta. J Matern Fetal Neonatal Med 26(14):1443–1449

    Article  PubMed  Google Scholar 

  23. Chiappa V, Di Legge A, Valentini AL, Gui B, Miccò M, Ludovisi M, Giansiracusa C, Testa AC, Valentin L (2014) Agreement of two-dimensional and three-dimensional transvaginal ultrasound with magnetic resonance imaging with regard to parametrial infiltration in cervical cancer. Ultrasound Obstet Gynecol. doi:10.1002/uog.14637

    Google Scholar 

  24. Byun JM, Kim YN, Jeong DH, Kim KT, Sung MS, Lee KB (2013) Three-dimensional transvaginal ultrasonography for locally advanced cervical cancer. Int J Gynecol Cancer 23(8):1459–1464

    Article  PubMed  Google Scholar 

  25. Seoud M, Cheaib S, Birjawi G, Tawil A, Jamali F (2010) Successful treatment of severe retro-peritoneal bleeding with recombinant factor VIIa in women with placenta percreta invading into the left broad ligament: unusual repeated ante-partum intra-abdominal bleeding. J Obstet Gynaecol Res 36(1):183–186

    Article  CAS  PubMed  Google Scholar 

  26. Tam Tam KB, Dozier J, Martin JN Jr (2012) Approaches to reduce urinary tract injury during management of placenta accreta, increta, and percreta: a systematic review. J Matern Fetal Neonatal Med 25(4):329–334

    Article  PubMed  Google Scholar 

  27. Wranning CA, Mölne J, El-Akouri RR, Kurlberg G, Brännström M (2005) Short-term ischaemic storage of human uterine myometrium–basic studies towards uterine transplantation. Hum Reprod 20(10):2736–2744

    Article  PubMed  Google Scholar 

  28. Palacios-Jaraquemada JM, García Mónaco R, Barbosa NE, Ferle L, Iriarte H, Conesa HA (2007) Lower uterine blood supply: extrauterine anastomotic system and its application in surgical devascularization techniques. Acta Obstet Gynecol Scand 86(2):228–234

    Article  PubMed  Google Scholar 

  29. Palacios-Jaraquemada JM, Karoshi M, Keith LG (2012) Uterovaginal blood supply: the S1 and S2 segmental concepts and their clinical relevance. In: A comprehensive textbook of postpartum hemorrhage: an essential clinical reference for effective management, 2nd edn. Sapiens Publishing Ltd, London, pp 19–23

    Google Scholar 

  30. Palacios-Jaraquemada JM (2013) Caesarean section in cases of placenta praevia and accreta. Best Pract Res Clin Obstet Gynaecol 27(2):221–232, Review

    Article  PubMed  Google Scholar 

  31. Al-Omari W, Elbiss HM, Hammad FT (2012) Placenta percreta invading the urinary bladder and parametrium. J Obstet Gynaecol 32(4):396–397

    Article  CAS  PubMed  Google Scholar 

  32. Vahdat M, Mehdizadeh A, Sariri E, Chaichian S, Najmi Z, Kadivar M (2012) Placenta percreta invading broad ligament and parametrium in a woman with two previous cesarean sections: a case report. Case Rep Obstet Gynecol 2012:251381. doi:10.1155/2012/251381, Epub 2012 Oct 14

    PubMed Central  PubMed  Google Scholar 

  33. Borekci B, Ingec M, Kumtepe Y, Gundogdu C, Kadanali S (2008) Difficulty of the surgical management of a case with placenta percreta invading towards parametrium. J Obstet Gynaecol Res 34(3):402–404

    Article  PubMed  Google Scholar 

  34. Lee LC, Lin HH, Wang CW, Cheng WF, Huang SC (1995) Successful conservative management of placenta percreta with rectal involvement in a primigravida. Acta Obstet Gynecol Scand 74(10):839–841

    Article  CAS  PubMed  Google Scholar 

  35. Varghese B, Singh N, George RA, Gilvaz S (2013) Magnetic resonance imaging of placenta accreta. Indian J Radiol Imaging 23(4):379–385

    Article  PubMed Central  PubMed  Google Scholar 

  36. Rezk MA, Shawky M (2014) Grey-scale and colour Doppler ultrasound versus magnetic resonance imaging for the prenatal diagnosis of placenta accreta. J Matern Fetal Neonatal Med 23:1–6

    Article  Google Scholar 

  37. Patenaude Y, Pugash D, Lim K, Morin L, Diagnostic Imaging Committee, Lim K, Bly S, Butt K, Cargill Y, Davies G, Denis N, Hazlitt G, Morin L, Naud K, Ouellet A, Salem S (2014) The use of magnetic resonance imaging in the obstetric patient. J Obstet Gynaecol Can 36(4):349–363

    PubMed  Google Scholar 

  38. Allen BC, Leyendecker JR (2013) Placental evaluation with magnetic resonance. Radiol Clin North Am 51(6):955–966

    Article  PubMed  Google Scholar 

  39. Pasto ME, Kurtz AB, Rifkin MD, Cole-Beuglet C, Wapner RJ, Goldberg BB (1983) Ultrasonographic findings in placenta increta. J Ultrasound Med 2(4):155–159

    CAS  PubMed  Google Scholar 

  40. Koai E, Hadpawat A, Gebb J, Goffman D, Dar P, Rosner M (2014) Clinical outcomes and efficacy of antenatal diagnosis of placenta accreta using ultrasonography and magnetic resonance imaging. Obstet Gynecol 123(Suppl 1):61S. doi:10.1097/01.AOG.0000447363.70482.2

    Article  Google Scholar 

  41. Riteau AS, Tassin M, Chambon G, Le Vaillant C, de Laveaucoupet J, Quéré MP, Joubert M, Prevot S, Philippe HJ, Benachi A (2014) Accuracy of ultrasonography and magnetic resonance imaging in the diagnosis of placenta accreta. PLoS One 9(4):e94866. doi:10.1371/journal.pone.0094866, eCollection 2014

    Article  PubMed Central  PubMed  Google Scholar 

  42. Abuhamad A (2013) Morbidly adherent placenta. Semin Perinatol 37(5):359–364

    Article  PubMed  Google Scholar 

  43. Meng X, Xie L, Song W (2013) Comparing the diagnostic value of ultrasound and magnetic resonance imaging for placenta accreta: a systematic review and meta-analysis. Ultrasound Med Biol 39(11):1958–1965

    Article  PubMed  Google Scholar 

  44. Palacios-Jaraquemada JM (2012) One-step conservative surgery for abnormal invasive placenta (placenta accreta–increta–percreta) section 5: placental abnormalities. In: A comprehensive textbook of postpartum hemorrhage: an essential clinical reference for effective management, 2nd edn. Sapiens Publishing Ltd, London, pp 263–274

    Google Scholar 

  45. Primo LF, Arbogast K, Digiacomo T, Shepherd K, Gardner MO, Doyle NM (2014) Placenta accreta: can we forecast its arrival? Obstet Gynecol 123(Suppl 1):166S. doi:10.1097/01.AOG.0000447171.60522.8

    Article  Google Scholar 

  46. Maher MA, Abdelaziz A, Bazeed MF (2013) Diagnostic accuracy of ultrasound and MRI in the prenatal diagnosis of placenta accreta. Acta Obstet Gynecol Scand 92(9):1017–1022

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Fundación Científica del Sur, Lomas de Zamora, Provincia de Buenos Aires Argentina and School of Medicine, University of Buenos Aires, Avenida Hipólito Irigoyen 8680, Lomas de Zamora, Buenos Aires, B1832BQS, Argentina

    José M. Palacios-Jaraquemada MD, PhD & Claudio Hernán Bruno MD, PhD

Authors
  1. José M. Palacios-Jaraquemada MD, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Claudio Hernán Bruno MD, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to José M. Palacios-Jaraquemada MD, PhD .

Editor information

Editors and Affiliations

  1. Department of Radiology, Umberto I Hospital Sapienza University, Rome, Italy

    Gabriele Masselli

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Palacios-Jaraquemada, J.M., Bruno, C.H. (2016). Management and Surgery of Abnormal Invasive Placenta: Impact of MR Imaging. In: Masselli, G. (eds) MRI of Fetal and Maternal Diseases in Pregnancy. Springer, Cham. https://doi.org/10.1007/978-3-319-21428-3_14

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-21428-3_14

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-21427-6

  • Online ISBN: 978-3-319-21428-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation