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Placenta previa percreta left in situ - management by delayed hysterectomy: a case report
Minna Tikkanen1, Vedran Stefanovic, Jorma Paavonen
1Helsinki University Hospital, Department of Obstetrics and Gynecology, Helsinki, Finland. jorma.paavonen@hus.fi.
Introduction:
Placenta percreta is an obstetric emergency often associated with massive hemorrhage and emergency hysterectomy.
Case Presentation:
We present the case of a 30-year-old African woman, gravida 7, para 5, with placenta percreta managed by an alternative approach: the placenta was left in situ, methotrexate was administered, and a delayed hysterectomy was successfully performed.
Conclusions:
Further studies are needed to develop the most appropriate management option for the most severe cases of abnormal placentation. Delayed hysterectomy may be a reasonable strategy in the most severe cases.
