conservative management of placenta increta: case report and literature review

Authors

fariba yarandi department of gynecological oncology, school of medicine, tehran university of medical sciences, tehran, iran.

zahra eftekhar department of gynecological oncology, school of medicine, tehran university of medical sciences, tehran, iran.

hadi shojaei department of gynecological oncology, school of medicine, tehran university of medical sciences, tehran, iran.

fatemeh rahimi-sharbaf department of obstetrics and gynecologist, school of medicine, tehran university of medical sciences, tehran, iran.

abstract

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.

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Journal title:
acta medica iranica

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