Lower uterine segment pregnancy with placenta increta complicating first trimester induced abortion: diagnosis and conservative management.

Xinyan Liu; Guangsheng Fan; Zhengyu Jin; Ning Yang; Yuxin Jiang; Mingying Gai; Lina Guo; Youfang Wang; Jinghe Lang

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Lower uterine segment pregnancy with placenta increta complicating first trimester induced abortion: diagnosis and conservative management.

Author: Xinyan LIU ¹ ; Guangsheng FAN ; Zhengyu JIN ; Ning YANG ; Yuxin JIANG ; Mingying GAI ; Lina GUO ; Youfang WANG ; Jinghe LANG
Author Information

1. Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100730, China. menglxy@hotmail.com.cn
Publication Type:Case Reports
MeSH: Abortion, Induced; adverse effects; Adult; Embolization, Therapeutic; Female; Humans; Placenta Accreta; diagnosis; therapy; Pregnancy; Pregnancy Trimester, First; Uterine Hemorrhage; etiology; therapy; Uterus; pathology
From: Chinese Medical Journal 2003;116(5):695-698
CountryChina
Language:English
Abstract:
OBJECTIVETo discuss the diagnosis of and conservative management for lower uterine segment pregnancy with placenta increta complicating first trimester abortion.
METHODSFour patients with previous caesarean section and severe hemorrhage in induced abortion in the first trimester were studied. Uterine artery embolization (UAE) was used to control bleeding and preserve the uterus.
RESULTSUAE controlled heavy uterine bleeding satisfactorily. One of the four patients asked for a hysterectomy after UAE, and her pathology report confirmed "lower uterine segment pregnancy with placenta increta".
CONCLUSIONPrevious caesarean section is a risk factor for lower uterine segment pregnancy with placenta increta. UAE is one of the best conservative management methods for heavy hemorrhage, especially for women who desire future fertility.