A Case of Placenta Previa-Percreta Treated with Methotrexate Treatment.
- Author:
Jung Hee PARK
1
;
Jong Du PARK
;
Joon Hyeong LEE
;
Hyeong Yong KIM
;
Hyun Joong PARK
;
Duk Yung GO
;
Kyung Hee HONG
Author Information
1. Department of Obstetrics and Gynecology, Kwang Myoung Seong Ae Hospital, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Placenta previa-percreta;
Csarean section;
Nthotrexate;
magnetic resonance
- MeSH:
Cesarean Section;
Curettage;
Diagnosis;
Female;
Fibrin;
Gestational Age;
Humans;
Hysterectomy;
Ligation;
Methotrexate*;
Placenta Accreta;
Placenta Previa;
Placenta*;
Pregnancy
- From:Korean Journal of Obstetrics and Gynecology
1997;40(9):2067-2071
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Placenta previa-percreta is a rare but highly morbid condition usually diagnosed clinically, intraoperatively. The cause of placenta accreta is considered to be deficient decidualization and absence of the fibrinous layer of Nitabuch. The condition is usually, but not always, seen in women having previous trauma, eg, cesarean section, manual removal of placenta, or curettage. Magnetic resonance imaging(MRI) might allow antepartum diagnosis of the this condition. Management included cesarean supracervical hysterectomy and bilateral hypogastric arterial ligation, and adjuvant methotrexate administration. We experienced a case of placenta previa percreta at 40 weeks gestational age. Here we present the case with brief review of literature.
