Placenta percreta‐induced uterine rupture with right ovarian vein thrombus protracting into the inferior vena cava

• Published in: Journal of clinical ultrasound Vol. 48; no. 8; pp. 493 - 497
• Main Authors: Yapar Eyi, Elif Gül, Halıcı Öztürk, Filiz, Alkan, Mihriban
• Format: Journal Article
• Language: English
• Published: Hoboken, USA John Wiley & Sons, Inc 01.10.2020; Wiley Subscription Services, Inc
• Subjects: Adult; Cesarean Section; Complications; Doppler effect; Female; Humans; inferior vena cava; ovarian vein thrombosis; Ovaries; Ovary - blood supply; Placenta; Placenta Accreta - diagnostic imaging; placenta percrete; Placenta Previa - diagnostic imaging; Placenta Previa - pathology; Pregnancy; Pregnancy complications; Rupture; Rupturing; Thromboembolism; Thrombosis; Thrombosis - diagnostic imaging; Thrombosis - pathology; Ultrasonic imaging; Ultrasonography, Prenatal; Ultrasound; Uterine Rupture - diagnostic imaging; Uterine Rupture - etiology; uterine rupture placenta accrete; Uterus; Vena Cava, Inferior - diagnostic imaging; Vena Cava, Inferior - pathology; Turkey; placenta percrete; inferior vena cava; uterine rupture placenta accrete; ovarian vein thrombosis
• ISSN: 0091-2751; 1097-0096
• DOI: 10.1002/jcu.22903

In Turkey, the triad of prior cesarean section (CS), placenta previa, and placenta accreta spectrum is worth of concern. Here, we present an unpublished complication of placenta percreta‐induced uterine rupture: ovarian vein thrombosis (OVT) protracting into the inferior vena cava (IVC) in a woman with a previous CS and placenta previa. We propose the integration of the sub‐xiphoid transabdominal long axis of the IVC into the point‐of‐care ultrasound practice with color Doppler to establish the diagnosis of complicated OVT. To prevent placenta accreta spectrum‐related complications, there is an urgent need to lower CS rate both globally and in Turkey.