Placenta percreta

Magnetic resonance imaging and temporary bilateral internal iliac artery balloon occlusion

Jason A. Conrad, Diana K. Lee, Gregory Chaljub, Randy D. Ernst, Patrick Adegbovega, Alfredo F. Gei, Eric Walser

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Placenta percreta is an implantation disorder, which can cause potentially life-threatening hemorrhage especially when diagnosed during delivery. Traditionally, ultrasound has been the first-line diagnostic imaging modality used to diagnose placentra percreta. However, in cases where ultrasound cannot dependably establish a diagnosis or placental invasion involves adjacent structures, such as the bladder, magnetic resonance imaging has been reported as a more precise imaging modality. Magnetic resonance imaging should be considered for early, more accurate diagnosis of placenta percreta to avoid massive hemorrhage during delivery and cesarean hysterectomy. If the diagnosis of placenta percreta is made, temporary balloon occlusion of bilateral internal iliac arteries should be considered to prevent excessive blood loss. This case report should alert radiologists and obstetricians of the precise diagnosis offered by magnetic resonance imaging, the use of temporary balloon occlusion, and the need for further research on magnetic resonance, ultrasound, and Doppler imaging of placenta percreta.

Original languageEnglish (US)
Pages (from-to)139-144
Number of pages6
JournalJournal of Women's Imaging
Volume4
Issue number3
StatePublished - Aug 2002

Fingerprint

Placenta Accreta
Balloon Occlusion
Iliac Artery
Magnetic Resonance Imaging
Hemorrhage
Doppler Ultrasonography
Diagnostic Imaging
Hysterectomy
Urinary Bladder
Magnetic Resonance Spectroscopy
Research

Keywords

  • Balloon catheterization
  • MR imaging
  • Percretal

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Radiology Nuclear Medicine and imaging

Cite this

Conrad, J. A., Lee, D. K., Chaljub, G., Ernst, R. D., Adegbovega, P., Gei, A. F., & Walser, E. (2002). Placenta percreta: Magnetic resonance imaging and temporary bilateral internal iliac artery balloon occlusion. Journal of Women's Imaging, 4(3), 139-144.

Placenta percreta : Magnetic resonance imaging and temporary bilateral internal iliac artery balloon occlusion. / Conrad, Jason A.; Lee, Diana K.; Chaljub, Gregory; Ernst, Randy D.; Adegbovega, Patrick; Gei, Alfredo F.; Walser, Eric.

In: Journal of Women's Imaging, Vol. 4, No. 3, 08.2002, p. 139-144.

Research output: Contribution to journalArticle

Conrad, JA, Lee, DK, Chaljub, G, Ernst, RD, Adegbovega, P, Gei, AF & Walser, E 2002, 'Placenta percreta: Magnetic resonance imaging and temporary bilateral internal iliac artery balloon occlusion', Journal of Women's Imaging, vol. 4, no. 3, pp. 139-144.
Conrad JA, Lee DK, Chaljub G, Ernst RD, Adegbovega P, Gei AF et al. Placenta percreta: Magnetic resonance imaging and temporary bilateral internal iliac artery balloon occlusion. Journal of Women's Imaging. 2002 Aug;4(3):139-144.
Conrad, Jason A. ; Lee, Diana K. ; Chaljub, Gregory ; Ernst, Randy D. ; Adegbovega, Patrick ; Gei, Alfredo F. ; Walser, Eric. / Placenta percreta : Magnetic resonance imaging and temporary bilateral internal iliac artery balloon occlusion. In: Journal of Women's Imaging. 2002 ; Vol. 4, No. 3. pp. 139-144.
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