conservative management of placenta increta: case report and literature review

placenta increta, a rare complication of pregnancy, is associated with significant postpartum hemorrhage often requiring emergency hysterectomy. we report a case of conservative management, with a combination of parenteral methotrexate, serial ultrasound and β-hcg assessment. serum β-hcg levels were undetectable after 8 weeks of therapy. a scan at 6 months showed complete involution of the uterus. review of the literature discussing the diagnostic tools, clinical features, management and outcome of pregnancies with placenta increta.