Conservative management of placenta percreta: experiences in two cases.

Abstract:

BACKGROUND:The management of an abnormally invaded placenta presents a challenging obstetric problem. Recent reports have suggested that a conservative approach to the treatment of this condition is appropriate in selected cases. We present the courses of two women with suspected placenta percreta who were managed conservatively and the complications that ensued. CASES:Two multiparous women underwent elective repeat cesarean deliveries and were found to have clinical evidence of placenta percreta with bladder invasion. In both cases, the placenta was left in situ and medical management was attempted with methotrexate. Both women developed significant delayed complications requiring reoperation and hysterectomy, and both required multiple transfusions. CONCLUSION:Conservative management of the abnormally invaded placenta should be undertaken with caution, and complications should be anticipated.

journal_name

Obstet Gynecol

authors

Hays AM,Worley KC,Roberts SR

doi

10.1097/AOG.0b013e3181794727

subject

Has Abstract

pub_date

2008-08-01 00:00:00

pages

425-6

issue

2 Pt 2

eissn

0029-7844

issn

1873-233X

pii

112/2/425

journal_volume

112

pub_type

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