High-intensity focused ultrasound combined with hysteroscopic resection to treat retained placenta accreta.
10.5468/ogs.2016.59.5.421
- Author:
Jae Seong LEE
1
;
Gi Youn HONG
;
Byung Joon PARK
;
Hyejin HWANG
;
Rayon KIM
;
Tae Eung KIM
Author Information
1. Aegis Woman Medical Clinic, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
High-intensity focused ultrasound ablation;
Hysteroscopic resection;
Retained placenta accrete
- MeSH:
Chorionic Villi;
Fertility;
High-Intensity Focused Ultrasound Ablation;
Humans;
Methods;
Myoma;
Placenta, Retained*;
Ultrasonography*;
Uterine Hemorrhage
- From:Obstetrics & Gynecology Science
2016;59(5):421-425
- CountryRepublic of Korea
- Language:English
-
Abstract:
We present a case of retained placenta accreta treated by high-intensity focused ultrasound (HIFU) ablation followed by hysteroscopic resection. The patient was diagnosed as submucosal myoma based on ultrasonography in local clinic. Pathologic examination of several pieces of tumor mass from the hysteroscopic procedure revealed necrotic chorionic villi with calcification. HIFU was performed using an ultrasound-guided HIFU tumor therapeutic system. The ultrasound machine had been used for real-time monitoring of the HIFU procedure. After HIFU treatment, no additional vaginal bleeding or complications were observed. A hysteroscopic resection was performed to remove ablated placental tissue 7 days later. No abnormal vaginal bleeding or discharge was seen after the procedure. The patient was stable postoperatively. We proposed HIFU and applied additional hysteroscopic resection for a safe and effective method for treating retained placenta accreta to prevent complications from the remaining placental tissue and to improve fertility options.
