Nonsurgical management of placenta percreta: A case report

Richard Legro, Fredric V. Price, Lyndon M. Hill, Steve N. Caritis

Research output: Contribution to journalArticle

96 Citations (Scopus)

Abstract

Background: Although placenta percreta is rare, its sequelae include potentially lethal hemorrhage and loss of reproductive function. Therapy directed toward control of life-threatening hemorrhage frequently includes emergency hysterectomy. Case: A woman with placenta percreta, suspected clinically and documented radiographically, was treated nonsur-gically. Following delivery, the placenta was left in situ and methotrexate chemotherapy was initiated to aid destruction of the trophoblastic tissue. Eight months later, hysteroscopy showed a normal uterine cavity with only a small area of calcification at the presumed implantation site. Two years later, the patient had a normal pregnancy and vaginal delivery. Conclusion: Placenta percreta can be managed with preservation of the uterus, but careful follow-up may be required until the entire placenta has resorbed.

Original languageEnglish (US)
Pages (from-to)847-849
Number of pages3
JournalObstetrics and Gynecology
Volume83
Issue number5
StatePublished - Jan 1 1994

Fingerprint

Placenta Accreta
Placenta
Hemorrhage
Hysteroscopy
Hysterectomy
Methotrexate
Uterus
Emergencies
Drug Therapy
Pregnancy
Therapeutics

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynecology

Cite this

Legro, R., Price, F. V., Hill, L. M., & Caritis, S. N. (1994). Nonsurgical management of placenta percreta: A case report. Obstetrics and Gynecology, 83(5), 847-849.
Legro, Richard ; Price, Fredric V. ; Hill, Lyndon M. ; Caritis, Steve N. / Nonsurgical management of placenta percreta : A case report. In: Obstetrics and Gynecology. 1994 ; Vol. 83, No. 5. pp. 847-849.
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Legro, R, Price, FV, Hill, LM & Caritis, SN 1994, 'Nonsurgical management of placenta percreta: A case report', Obstetrics and Gynecology, vol. 83, no. 5, pp. 847-849.

Nonsurgical management of placenta percreta : A case report. / Legro, Richard; Price, Fredric V.; Hill, Lyndon M.; Caritis, Steve N.

In: Obstetrics and Gynecology, Vol. 83, No. 5, 01.01.1994, p. 847-849.

Research output: Contribution to journalArticle

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Legro R, Price FV, Hill LM, Caritis SN. Nonsurgical management of placenta percreta: A case report. Obstetrics and Gynecology. 1994 Jan 1;83(5):847-849.