A Case of Placenta Percreta Managed with Sequential Embolisation Procedures
| Autor: | Noel Young, Shannon Armstrong-Kempter, Supuni Kapurubandara, Brian Trudinger, Naim Arrage |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
030219 obstetrics & reproductive medicine Morbidly adherent placenta business.industry medicine.medical_treatment Placenta Percreta Obstetrics and Gynecology Uterine artery embolisation Case Report lcsh:Gynecology and obstetrics Surgery Caesarean hysterectomy 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure 030220 oncology & carcinogenesis Placenta embryonic structures medicine Caesarean section business reproductive and urinary physiology lcsh:RG1-991 Artery |
| Zdroj: | Case Reports in Obstetrics and Gynecology, Vol 2018 (2018) Case Reports in Obstetrics and Gynecology |
| ISSN: | 2090-6692 2090-6684 |
| Popis: | Background. The incidence of morbidly adherent placenta, including placenta percreta, has increased significantly over recent years due to rising caesarean section rates. Historically, abnormally invasive placenta has been managed with caesarean hysterectomy; however nonsurgical interventions such as uterine artery embolisation (UAE) are emerging as safe alternative management techniques. UAE can be utilised to decrease placental perfusion and encourage placental resorption, thereby reducing the risk of haemorrhage and other morbidities. Case. We describe one of the very few reported cases of placenta percreta which was successfully treated primarily with sequential artery embolisation. Our patient underwent four embolisation procedures over a period of 248 days, with no major morbidity or complications. Conclusion. Repeat UAE may be a beneficial primary management modality in cases of placenta percreta with bladder involvement. |
| Databáze: | OpenAIRE |
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