PLACENTA ACCRETA FOLLOWING UTERINE ARTERY EMBOLIZATION

被引:9
作者
Takahashi, Hironori [1 ]
Hayashi, Satoshi [1 ]
Matsuoka, Kentaro [1 ]
Kitagawa, Michihiro [1 ]
机构
[1] Natl Ctr Child Hlth & Dev, Dept Perinatal Med & Maternal Care, Setagaya Ku, Tokyo 1578535, Japan
来源
TAIWANESE JOURNAL OF OBSTETRICS & GYNECOLOGY | 2010年 / 49卷 / 02期
关键词
placenta accreta; postpartum hemorrhage; pregnancy; uterine artery embolization; uterine myoma; PREGNANCY;
D O I
10.1016/S1028-4559(10)60041-1
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: Uterine artery embolization (UAE) is becoming a common treatment for symptomatic leiomyoma Several pregnancies following UAE have been reported However, reports are still limited and the risk of complications remains unknown Case Report: A primigravida conceived after UAE for leiomyoma She delivered spontaneously at 34 weeks plus 2 days after premature rupture of the membranes The placenta was located on the interstitial leiomyoma. The patient required manual placental extraction owing to retained placenta and subsequently underwent emergency supracervical hysterectomy for severe postpartum hemorrhage Placenta accreta was confirmed histologically Conclusion: Placenta accreta may occur during pregnancy following UAE When the implantation site is on the leiomyoma with a hyperechoic rim, there is a high risk of abnormal placental adherence [Taiwan J Obstet Gynecol 2010,49(2) 197-198]
引用
收藏
页码:197 / 198
页数:2
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