Placenta percreta: urologic complication after successful conservative management by uterine arterial embolization: a case report

Diop, Abdoulaye Ndoye; Bros, Sébastien; Chabrot, P.; Gallot, Denis; Boyer, L.

doi:10.1016/j.ajog.2009.08.040

Cited by 17 publications

(11 citation statements)

References 5 publications

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“…A non-surgical conservative method is to leave the placenta in situ to reabsorb and institute treatment with chemotherapeutic agents, such as methotrexate. Uterine or internal iliac artery ligation and transcatheter arterial embolization has also been described as a choice of treatment [7,8].…”

Section: Discussionmentioning

confidence: 99%

A Case Study on Placenta Percreta

D¹,

Varshitha²,

Ramesh³

et al. 2018

J Pharma Care Health Sys

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Placenta percreta is a serious pregnancy condition that occurs when blood vessels and other parts of the placenta grow the deeply into the uterine wall. Placenta percreta is a rare but a life-threatening condition. Control of massive haemorrhage is the first priority; however, the patient's desire for future fertility has to be taken into consideration. Here we present a case where we had to do a quick subtotal hysterectomy because of torrential bleed due to placenta percreta with severe abdominal pain.

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Section: Discussionmentioning

confidence: 99%

A Case Study on Placenta Percreta

D¹,

Varshitha²,

Ramesh³

et al. 2018

J Pharma Care Health Sys

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“…A previous scar is a major risk factor as the deciduas basalis in this zone is expected to be poorly vascularised and presents as a zone of weakness for subsequent placental villi penetration. 4 The diagnosis of abnormal placentation is histological, and reveals the absence or poor development of the decidua basalis associated with varying extents of trophoblasatic villus invasion of the myometrium.…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Unicornuate Uterus With Placenta Percreta Causing Uterine Rupture in Second Trimester

Sudha¹,

Sunanda²,

Lokeshchandra³

et al. 2014

jemds

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Retained placenta postdelivery should raise suspicion of adherent placenta. In such cases immediate decision and quick action can be life saving. Placenta percreta can at times present in second trimester with ruptured uterus. Placenta percreta is an obstetric emergency often associated with massive hemorrhage leading to emergency hysterectomy. We describe a severe case of placenta percreta in which the placenta was left in situ, methotrexate administered and a delayed hysterectomy successfully performed. Delayed hysterectomy may be a reasonable management strategy in the most severe cases.

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“…Retained placental tissue can remain in place (Davis and Cruz, 1996), be expelled, undergo a reduction in volume, or calcify (Diop et al, 2009). There is no linear correlation between the blood or urine level of chorionic human gonadotro pin (hCG) and the size of retained placental tissue because hCG reflects the activity of placental tissue rather than its permanency as inactive tissue in abnormal pla centation.…”

Section: A K U S H E R -L I B R Umentioning

confidence: 99%

Placental Adhesive Disorders

Palacios‐Jaraquemada¹

2012

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Placenta percreta: urologic complication after successful conservative management by uterine arterial embolization: a case report

Cited by 17 publications

References 5 publications

A Case Study on Placenta Percreta

A Case Study on Placenta Percreta

A Rare Case of Unicornuate Uterus With Placenta Percreta Causing Uterine Rupture in Second Trimester

Placental Adhesive Disorders

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