CASE REPORT   

Minerva Obstetrics and Gynecology 2022 August;74(4):393-7

DOI: 10.23736/S2724-606X.21.04973-3

Copyright © 2021 EDIZIONI MINERVA MEDICA

lingua: Inglese

Placenta accreta spectrum: experience of conservative surgery during cesarean section and clinical and radiological management during pregnancy and follow-up

Federica LISI ¹ ✉, Sara ZULLINO ¹, Marco VANGELISTI ², Fabrizio FANELLI ³, Massimo MICAGLIO ⁴, Felice PETRAGLIA ^{1, 5}, Federico MECACCI ^{1, 5}

¹ Department of Obstetrics and Gynecology, University of Florence, Careggi University Hospital, Florence, Italy; ² Department of Radiodiagnosis and Imaging, University of Florence, Careggi University Hospital, Florence, Italy; ³ Department of Vascular and Interventional Radiology, University of Florence, Careggi University Hospital, Florence, Italy; ⁴ Department of Anesthesia and Intensive Care, University of Florence, Careggi University Hospital, Florence, Italy; ⁵ Department of Biomedical, Experimental and Clinical Sciences, University of Florence, Careggi University Hospital, Florence, Italy

Placenta accreta spectrum (PAS) is a condition of abnormal placental invasion including placenta accreta, increta and percreta and is a major cause of maternal morbidity and mortality. Recently, a conservative surgical technique has been proposed as a valid alternative to peri-partum hysterectomy to reduce the short- and long-term risks for the mothers and to preserve fertility. Magnetic resonance imaging (MRI) seems to be useful first of all at the time of diagnosis and furthermore to investigate the course of conservative management of PAS. We describe three cases of PAS treated with conservative procedure and managed with clinic, ultrasound and MRI by a multidisciplinary equipe.

KEY WORDS: Placenta accreta; Conservative treatment; Magnetic resonance imaging; Placenta previa; Ultrasonography