Placenta increta after high-intensity-focused ultrasound for the treatment of a uterine  leiomyoma

A 30 year old nulliparous woman received high-intensity focused ultrasound ablation for her type 1 uterine myoma caused by chronic menorrhagia and dysmenorrhea. Magnetic resonance imaging revealed a lesion size of 3.5  cm × 5.1 cm × 5.4 cm myoma with its pedicle (asterisk) identified at the right lateral wall of the uterus (Figure 1). Eight months later, she became pregnant. At 16 weeks of gestation, the placenta was found to implant at the same myoma and then with central necrosis and decreased size (Fig ure 2).
Source: American Journal of Obstetrics and Gynecology - Category: OBGYN Authors: Tags: Images in Obstetrics Source Type: research