TRUE PLACENTA ACCRETA: MEDICAL TREATMENT


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Abstract

The paper describes a case of the successful medical treatment of 2 female patients with true placenta accreta. Both patients had placental presentation and a uterine scar after cesarean section. Echography and magnetic resonance imaging diagnosed placenta accreta during pregnancy. By taking into account the diagnosis, it has been decided to make bottom cesarean section, followed by uterine artery embolization. The placenta was left in situ. Delayed uterine artery reembolization was carried out in the postoperative period. After partial expulsion of the placenta, its remnants were removed by curettage and hysteroscopy. The patients completely recovered menstrual function during a follow-up.

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About the authors

M. A KURTSER

Center of Family Planning and Reproduction, Moscow Healthcare Department

Email: cfp@list.ru

I. Yu BRESLAV

Perinatal Medical Center, Moscow

M. V LUKASHINA

Center of Family Planning and Reproduction, Moscow Healthcare Department

A. M SHTABNITSKY

Center of Family Planning and Reproduction, Moscow Healthcare Department

T. V ALEKSEYEVA

Center of Family Planning and Reproduction, Moscow Healthcare Department

I. V PLATITSYN

Center of Family Planning and Reproduction, Moscow Healthcare Department

E. A ZEMLYANSKAYA

Perinatal Medical Center, Moscow

References

  1. Айламазян Э.К., Репина М.А., Кузьминых Т.У. Еще один взгляд на проблему акушерских кровотечений // Журн. акуш. и жен. бол. — 2008. — № 3. — C. 3—11.
  2. Angstmann T., Gard G., Harrington T. et al. Surgical management of placenta accreta: a cohort series and suggested approach // Am. J. Obstet. Gynecol. — 2010. — Vol. 202. — P. 38—39.
  3. Arulkumaran S., Ng C.S., Ingemarsson I. et al. Medical treatment of placenta accreta with methotrexate // Acta Obstet. Gynecol. Scand. — 1986. — Vol. 65, № 3. — P. 285— 286.
  4. Chan B.C.P., Lam H. S.W., Yuen J.H.F. et al. Conservative management of placenta previa with accreta // Hong Kong Med. J. — 2008. — Vol. 14 — P. 479—484.
  5. Clement D., Kayem G., Cabrol D. Conservative treatment of placenta percreta: a safe alternative // Eur. J. Obstet. Gynecol. Reprod. Biol. — 2004. — Vol. 114. — P. 108—109.
  6. Flood K.M., Said S., Geary M. et al. Changing trends in peripartum hysterectomy over the last 4 decades // Am. J. Obstet. Gynecol. — 2009. — Vol. 200. — P. 632.el—632.e6.
  7. Henrich W., Surbek D., Kainer F. et al. Diagnosis and treatment of peripartum bleeding // J. Perinat. Med. — 2008. — Vol. 36, № 6. — P. 467—478.
  8. Kayem G., Davy C., Goffinet F. et al. Conservative versus extirpative management in cases of placenta accreta // Obstet. and Gynecol. — 2004. — Vol. 104. — P. 531—536.
  9. Kent A. Management of placenta accreta // Rev. Obstet. Gynecol. — 2009. — Vol. 2, № 2. — P. 127—128.
  10. Kotsuji F., Nishijima K., Kurokawa T. et al. Usefulness of the transverse uterine fundal incision for placenta previa // Abstracts of the X XII European congress of perinatal medicine. — Granada, 2010. — P. 618.
  11. Lam H., Pun T.C., Lam P.W. Successful conservative management of placenta previa accreta during caesarean section // Int. J. Gynecol. Obstet. — 2004. — Vol. 86. — P. 31—32.
  12. Mussalli G.M., Shah J., Berck D.J. et al. Placenta accreta and methotrexate therapy: three case reports // J. Perinatol. — 2000. — Vol. 20. — P. 331—334.
  13. Ophir E., Singer-Jordan J., Odeh M. et al. Abnormal placental invasion — a novel approach to treatment case report and review // Obstet. Gynecol. Surv. — 2009. — Vol. 64, № 12. — P. 811—822.
  14. Palacios Jaraquemada J.M., Pesaresi M., Nassif J.C. et al. Anterior placenta percreta: surgical approach, hemostasis and uterine repair // Acta Obstet. Gynecol. Scand. — 2004. — Vol. 83. — P. 738—744.
  15. Palacios Jaraquemada J.M., Bruno C.H. MRI in 300 cases of placenta accereta: surgical correlation of new findings // Acta Obstet. Gynecol. Scand. — 2005. — Vol. 84. — P. 719—727.
  16. Son G., Kwon J., Cho H. et al. A case of placenta increta presenting as delayed postabortal intraperitoneal bleeding in the first trimester // J. Korean Med. Sci. — 2007. — Vol. 22. — P. 932—935.
  17. Sumigama S., Itakura A., Ota T. et al. Placenta previa increta/percreta in Japan: a retrospective study of ultrasound findings, management and clinical course // J. Obstet. Gynecol. Res. — 2007. — Vol. 33, № 5. — P. 606—611.
  18. Thia E.W.H., Tan L.-K., Devendra K. et al. Lessons learnt from two women with morbiditly adherent placentas and a review of literature // Ann. Acad. Med. Singapore. — 2007. — Vol. 36. — P. 298—303.
  19. Timmermans S., van Hof A.C., Duvekot J.J. Conservative management of abnormally invasive placentation // Obstet. Gynecol. Surv. — 2007. — Vol. 62, № 8. — P. 529—539.
  20. Tong S.Y.P., Tay K.H., Kwek Y.C.K. Conservative management of placenta accreta: review of three cases // Singapore Med. J. — 2008. — Vol.49, № 6. — P. e156—e159.
  21. Vazquez J.A., Rivera G.V., Higareda S.H. et al. Obstetric hysterectomy. Incidence, indications and complications // Ginecol. Obstet. Mex. — 2008. — Vol.76, № 3. — P. 156—160.
  22. Yamasmit W., Chaithonqwongwatthana S. Risk factors for cesarean hysterectomy in tertiary center in Thailand: A case-control study // J. Obstet. Gynecol. Res. — 2009. — Vol. 35, № 1. — P. 60—65.
  23. Yi K.W., Oh M.-J., Seo T.-S. et al. Prophylactic hypogastric artery ballooning in a patient with complete placenta previa and increta // J. Korean Med. Sci. — 2010. — Vol. 25. — P. 651—655.

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