Diagnosis of placenta accreta by ultrasonography: a "gold standard"? Diagnóstico de placenta accreta por ecografia: “gold standard”?

Introduction: Placenta accreta occurs when part of the placenta or the entire placenta invades and is inseparable from the uterine wall. The diagnosis of placenta accreta before delivery allows multidisciplinary planning in an attempt to minimize potential maternal or neonatal morbidity and mortality. The diagnosis is usually established by ultrasonography and occasionally supplemented by magnetic resonance imaging. Our aim is to make a retrospective analysis of ultrasound findings of placenta accreta in women followed at our Department. Material and Methods: Retrospective analysis of the ultrasound findings of placenta accreta in women followed between March 2009 and May 2013. The degree of placental invasion and its specific topography were established in the operating room according to clinical and anatomical criteria. Results: Seven patients were included in this study. Multiple ultrasound findings of placenta accreta were found simultaneously. Surgical results were closely related to the degree and level of invasion evidenced through imagiological assessment. Discussion and Conclusion: Our data is in accordance with the published consideration that ultrasonography is sensitive and specific enough for the diagnosis of placenta accreta.