Magnetic resonance imagining (MRI) and serial β-human chorionic gonadotrophin (β-hCG) follow up for placenta percreta

被引：7
作者：
El-Bialy G. [1 ]
Kassab A. [2 ,3 ]
Armstrong M. [1 ]
机构：
[1] Department of Obstetrics and Gynaecology, Glan Clwyd Hospital, Denbighshire
[2] Department of Obstetrics and Gynaecology, Mousgrove Park Hospital, Somerset
[3] Pawlett, Bridgwater, Somerset
来源：
Archives of Gynecology and Obstetrics | 2007年 / 276卷 / 4期
关键词：
β-hCG; MRI; Placenta percreta;
D O I：
10.1007/s00404-007-0351-3
中图分类号：
学科分类号：
摘要：
Background: Placenta percreta is a rare obstetric condition associated with life-threatening hemorrhage. MR imaging has a role in prenatal diagnosis of these cases. However, its role in the postnatal diagnosis and in the follow up yet to be established. Case: A 33-year-old patient has adherent placenta following spontaneous delivery at 37 weeks gestation. MR imaging diagnosed placenta percreta. Intramuscular methotrexate treatment was initiated with follow up with serial β-human chorionic gonadotrophin (β-hCG). In spite of dropping of the level of β-hCG, the trophoblastic tissue was still present 6 weeks postnatally where the patient complained of vaginal bleeding where she opted to abdominal hysterectomy. Conclusion: Patients who are suitable for non-surgical therapy, T2-weighted MR imaging may, in conjunction with serial β-hCG assays, provide an alternative treatment modality for cases of placenta percreta. © 2007 Springer-Verlag.
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页码：371 / 373
页数：2
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