A Case of Placenta Increta in the Uterine Sacculation which was Treated with Conservative Methods.
- Author:
Min CHOUNG
1
;
Jeong Hoon RHO
;
Chang Up SON
;
Woo Suk NA
;
Byung Kwan LEE
;
Young Rae SONG
;
Ji Hoon RYU
;
In Taek HWANG
;
Ki Hwan KIM
Author Information
1. Department of Obstetrics and Gynecology, Eulji University Hospital, Daejeon, Korea. mdkkh@eulji.ac.kr
- Publication Type:Case Report
- Keywords:
Uterine sacculation;
Retained placenta;
Uterine artery embolization;
Methotrexate;
Placenta increta
- MeSH:
Curettage;
Hemorrhage;
Humans;
Hysterectomy;
Laparotomy;
Methotrexate;
Placenta Accreta*;
Placenta*;
Placenta, Retained;
Pregnancy;
Uterine Artery Embolization
- From:Korean Journal of Perinatology
2007;18(3):277-285
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Uterine sacculation is a very rare complication associated with pregnancy in which a part of the uterine wall balloons, and it is difficult to diagnose because it is usually asymptomatic. It frequently contains the placenta and sometimes may be involved with the trapped placenta after delivery due to its structural characteristic. It is impossible to remove the retained placenta in the sac by using usual methods such as manual delivery or curettage so most of patients with it end up with having a laparotomy. Especially, if the placenta in it is accompanied by abnormal adherence of the placenta or serious hemorrhage, hysterectomy should be considered. Currently several conservative methods for the retained placenta including selective uterine artery embolization and administration of methotrexate have been introduced and these may be tried to treat the retained placenta in the uterine sacculation for avoiding operation and preserving future reproductive potential in selective cases. We experienced a case of placenta increta in the uterine sacculation that was diagnosed first during cesarian section and was treated with selective uterine artery embolization followed by methotrexate administration. This case is reported with a brief review of the literatures.
