Complete resolution of diffuse placenta increta in a primigravida with twin pregnancy: sonographic monitoring

Fu-Nan Cho1, Cheng-Bin Liu, Ju-Yueh Li

  • 1Department of Obstetrics and Gynecology, Kaohsiung Veterans General Hospital, Kaohsiung 813, Taiwan. fncho@isca.vghks.gov.tw

We report a case of timely diagnosis of placenta increta by sonography during the third stage of labor, which avoided any attempt at manual removal of a retained placenta and thus prevented additional postpartum bleeding. The use of intra-cervical injection of vasopressin and methotrexate and application of transcatheter arterial embolization of bilateral uterine arteries and right internal iliac arteries resulted in a good outcome.

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