Abstract | PURPOSE: CASE REPORT: A pregnant 34-year-old woman (gravida 3, para 2) was admitted with premature rupture of membranes and vaginal bleeding in the 32nd week. Prenatal B-mode and Doppler ultrasound revealed marked hypervascularity of the placenta with disruption of the uterine-bladder interface consistent with placenta percreta. Since the patient insisted on uterine preservation, uterus and placenta were left in situ after caesarean section, which was followed by coaxial microcoil embolization of 6 pelvic arteries and postoperative methotrexate administration. Three months later, the patient had severe bleeding from the retained placenta, possibly under the influence of anticoagulation administered for pulmonary embolism. Emergent hysterectomy was performed. CONCLUSIONS:
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Authors | Hans-Peter Dinkel, Peter Dürig, Peter Schnatterbeck, Jürgen Triller |
Journal | Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists
(J Endovasc Ther)
Vol. 10
Issue 1
Pg. 158-62
(Feb 2003)
ISSN: 1526-6028 [Print] United States |
PMID | 12751949
(Publication Type: Case Reports, Journal Article)
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Topics |
- Adult
- Angiography
- Cesarean Section
- Embolization, Therapeutic
(methods)
- Female
- Fetal Membranes, Premature Rupture
- Humans
- Placenta Accreta
(diagnostic imaging, therapy)
- Pregnancy
- Ultrasonography
- Uterus
(blood supply)
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