IMR Press / CEOG / Volume 40 / Issue 4 / pii/1630389130771-475351296

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 46 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Open Access Case Report
Placenta accreta: conservative approach
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1 Department of Obstetrics and Gynecology, University of L’Aquila, L’Aquila
2 Faculty of Medicine and Surgery, University of Rome “Tor Vergata”, Rome (Italy)
Clin. Exp. Obstet. Gynecol. 2013, 40(4), 596–598;
Published: 10 December 2013

Placenta accreta refers to any abnormally invasive placental implantation. Diagnosis is suspected postpartum with failed delivery of a retained placenta. Massive obstetrical hemorrhage is a known complication, often requiring peripartum hysterectomy. The authors report a case of placenta accreta in a primiparous patient with multinodular leiofibromyomatosis of the uterus following failed manual removals of a retained placenta. They describe a conservative management in a stable patient desiring future fertility with a unilateral prophylactic uterine artery embolization, a multidose regimen of methotrexate, and a subsequent abdominal myomectomy.
Placenta accreta
Multidose methotrexate
Conservative treatment
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