[HTML][HTML] A case of placenta previa with increta with a history of pelvic radiation

A Baucom, T Herzog, A Jackson, SA Wahab… - Gynecologic Oncology …, 2021 - Elsevier
A Baucom, T Herzog, A Jackson, SA Wahab, C Billingsley
Gynecologic Oncology Reports, 2021Elsevier
Background Prior pelvic radiation increases risks of pregnancy complications that can be life
threatening. No documented pregnancy has successfully occurred with pelvic radiation
dosing of> 45 Gy. This case report describes a successful conception after receiving 54 Gy
with subsequent severe pregnancy complications. Case 34 yo G4P2012 with a history of
pelvic radiation who presented with painless vaginal bleeding at 12w6d gestation resulting
from a donor egg embryo transfer. She was subsequently diagnosed with a subchorionic …
Background
Prior pelvic radiation increases risks of pregnancy complications that can be life threatening. No documented pregnancy has successfully occurred with pelvic radiation dosing of >45 Gy. This case report describes a successful conception after receiving 54 Gy with subsequent severe pregnancy complications.
Case
34 yo G4P2012 with a history of pelvic radiation who presented with painless vaginal bleeding at 12w6d gestation resulting from a donor egg embryo transfer. She was subsequently diagnosed with a subchorionic hemorrhage, complete placenta previa, and placenta increta leading to a gravid hysterectomy at 23w0d due to concern for hemodynamic instability.
Conclusion
History of pelvic radiation increases risk of severe life-threatening pregnancy complications. This case report details the complications that can arise to provide assistance for counseling and management for future providers.
Elsevier