Placenta accreta: conservative approach

Autor: G, Di Luigi, F, Patacchiola, L, Di Stefano, A, D'Alfonso, A, Carta, G, Carta
Rok vydání: 2013
Předmět:
Popis: 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.
Databáze: OpenAIRE