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Conservative management of placenta increta: case report and literature review

Fariba Yarandi1, Zahra Eftekhar, Hadi Shojaei

  • 1Department of Gynecological Oncology, School of Medicine, Tehran University of Medical Sciences, Mirza Koochak-Khan Hospital, Tehran, Iran. Fariba_Yarandi@Yahoo.com

Acta Medica Iranica
|August 30, 2011
PubMed

Placenta increta, a rare complication of pregnancy, is associated with significant postpartum hemorrhage often requiring emergency hysterectomy. We report a case of conservative management, with a combination of parenteral methotrexate, serial ultrasound and β-hCG assessment. Serum β-hCG levels were undetectable after 8 weeks of therapy. A scan at 6 months showed complete involution of the uterus. Review of the literature discussing the diagnostic tools, clinical features, management and outcome of pregnancies with placenta increta.

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