Conservative multidisciplinary management of placenta percreta following in vitro fertilization.
10.5468/ogs.2013.56.3.194
- Author:
Jae Yoon SHIM
1
;
Seong Yun HONG
;
Hye Sung WON
;
Pil Ryang LEE
;
Ahm KIM
Author Information
1. Department of Obstetrics and Gynecology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. jyshim@amc.seoul.kr
- Publication Type:In Vitro ; Case Report
- Keywords:
Assisted reproductive technics;
Magnetic resonance imaging;
Placenta percreta;
Uterine artery embolization;
Uterine rupture
- MeSH:
Female;
Fertilization in Vitro;
Humans;
Magnetic Resonance Imaging;
Placenta;
Placenta Accreta;
Reproductive Techniques, Assisted;
Risk Factors;
Uterine Artery Embolization;
Uterine Rupture;
Uterus
- From:Obstetrics & Gynecology Science
2013;56(3):194-197
- CountryRepublic of Korea
- Language:English
-
Abstract:
Placenta percreta is an extremely rare and the most severe form of placental invasion, that is associated with severe maternal morbidity and mortality. We report a case of nulliparous woman who underwent 10 cycles of in vitro fertilization (IVF) without any known risk factors. We conserved her uterus by spontaneous vaginal delivery, leaving the placenta in situ, pelvic arterial embolization, and primary resection of the remaining placental tissues. This case demonstrates that repetitive IVF is a possible risk factor for placental invasion, and that conservation of the uterus can be achieved in such cases using a multidisciplinary approach.
