Placenta accreta: conservative approach

被引:0
作者
Di Luigi, G. [1 ]
Patacchiola, F. [1 ]
Di Stefano, L. [1 ]
D'Alfonso, A. [1 ]
Carta, A. [2 ]
Carta, G. [1 ]
机构
[1] Univ Aquila, Dept Obstet & Gynecol, I-67100 Laquila, Italy
[2] Univ Roma Tor Vergata, Fac Med & Surg, Rome, Italy
关键词
Placenta accreta; Methotrexate; MTX; Multidose methotrexate; Conservative treatment; ARTERIAL EMBOLIZATION; MANAGEMENT; PREVIA;
D O I
暂无
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Placenta accreta refers to any abnormally invasive placental implantation. Diagnosis is suspected postpartum with failed delivery of a retained placenta. Massive obstetrical hemorrhage is a known complication, often requiring peripartum hysterectomy. The authors report a case of placenta accreta in a primiparous patient with multinodular leiofibromyomatosis of the uterus following failed manual removals of a retained placenta. They describe a conservative management in a stable patient desiring future fertility with a unilateral prophylactic uterine artery embolization, a multidose regimen of methotrexate, and a subsequent abdominal myomectomy.
引用
收藏
页码:596 / 598
页数:3
相关论文
共 21 条
[1]   Placenta Accreta An Association With Fibroids and Asherman Syndrome [J].
Al-Serehi, Amal ;
Mhoyan, Anna ;
Brown, Michelle ;
Benirschke, Kurt ;
Hull, Andrew ;
Pretorius, Dolores H. .
JOURNAL OF ULTRASOUND IN MEDICINE, 2008, 27 (11) :1623-1628
[2]  
American Pregnancy Association, 2004, PLACENTA ACCRETA
[3]   MEDICAL-TREATMENT OF PLACENTA-ACCRETA WITH METHOTREXATE [J].
ARULKUMARAN, S ;
NG, CSA ;
INGEMARSSON, I ;
RATNAM, SS .
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 1986, 65 (03) :285-286
[4]  
BROWN BJ, 1979, OBSTET GYNECOL, V54, P361
[5]   Hysteroscopic treatment of severe Asherman's syndrome and subsequent fertility [J].
Capella-Allouc, S ;
Morsad, F ;
Rongières-Bertrand, C ;
Taylor, S ;
Fernandez, H .
HUMAN REPRODUCTION, 1999, 14 (05) :1230-1233
[6]  
Courbiere B, 2003, J Gynecol Obstet Biol Reprod (Paris), V32, P549
[7]  
FERGAL M, 2002, CONT OB GYN, V4, P116
[8]   Methotrexate treatment for retained placental tissue [J].
Flam, F ;
Karlström, PO ;
Carlsson, B ;
Garoff, L .
EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY, 1999, 83 (02) :127-129
[9]   TRANSCATHETER ARTERIAL EMBOLIZATION IN MANAGEMENT OF BLEEDING IN CANCER PATIENT [J].
GOLDSTEIN, HM ;
MEDELLIN, H ;
BENMENACHEM, Y ;
WALLACE, S .
RADIOLOGY, 1975, 115 (03) :603-608
[10]   Management of placenta accreta with oral methotrexate [J].
Gupta, D ;
Sinha, R .
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 1998, 60 (02) :171-173