Retained Placenta Accreta Mimicking Choriocarcinoma

Maureen P Kohi; Gabrielle A Rizzuto; Nicholas Fidelman; Jennifer Lucero; Mari-Paule Thiet

doi:10.1155/2015/167986

Retained Placenta Accreta Mimicking Choriocarcinoma

Case Rep Pathol. 2015:2015:167986. doi: 10.1155/2015/167986. Epub 2015 Oct 1.

Authors

Maureen P Kohi¹, Gabrielle A Rizzuto², Nicholas Fidelman¹, Jennifer Lucero³, Mari-Paule Thiet⁴

Affiliations

¹ Department of Radiology and Biomedical Imaging, University of California, San Francisco, CA 94143, USA.
² Department of Pathology and Laboratory Medicine, University of California, San Francisco, CA 94143, USA.
³ Department of Anesthesia and Perioperative Care, University of California, San Francisco, CA 94143, USA.
⁴ Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, CA 94143, USA.

Abstract

This case demonstrates a rare event of retained invasive placenta masquerading as choriocarcinoma. The patient presented with heavy vaginal bleeding following vaginal delivery complicated by retained products of conception. Ultrasound and computed tomography demonstrated a vascular endometrial mass, invading the uterine wall and raising suspicion for choriocarcinoma. Hysterectomy revealed retained invasive placenta.