Korean J Obstet Gynecol.  2008 Nov;51(11):1342-1346.

One case of placenta increta successfully treated with methotrexate

Affiliations
  • 1Department of Obstetrics & Gynecology Seoul University College of Medicine, Seoul, Korea.
  • 2Department of Obstetrics & Gynecology, Seoul Municipal Boramae Medical Center, Seoul, Korea. orangemed@snu.ac.kr

Abstract

Placenta increta is a kind of placental adhesion which can cause severe postpartum hemorrhage and life-threatening condition. It might necessitate a hysterectomy, but conservative management can be considerable for preserving reproductive potential when possible. A 34-years-old woman in her 41st week of pregnancy had normal full term spontaneous delivery. Retained placenta after removal by placenta forceps resulted in mild bleeding. Placenta increta was clinically diagnosed on computerized tomography. Remnant placenta in situ was nearly disappeared 2 months later after five-time intramuscular injection of 50 mg methotrexate and three-times curettage was done for conservative management.

Keyword

Placenta increta; Methotrexate

MeSH Terms

Curettage
Female
Hemorrhage
Humans
Hysterectomy
Injections, Intramuscular
Methotrexate
Placenta
Placenta Accreta
Placenta, Retained
Postpartum Hemorrhage
Pregnancy
Surgical Instruments
Methotrexate
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