One Case of Placenta Accreta Treated with Selective Uterine Artery Embolization Followed by Methotrexate.
- Author:
Si Hyun CHO
1
;
Sang Wook BAI
;
Ja Young KWON
;
Ja Seong KOO
;
Sei Kwang KIM
;
Ki Hyun PARK
Author Information
1. Department of Obstetrics and Gynecology Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Placenta accreta;
Selective uterine artery embolization;
Methotrexate
- MeSH:
Emergencies;
Hemorrhage;
Humans;
Hysterectomy;
Ligation;
Methotrexate*;
Placenta Accreta*;
Placenta*;
Uterine Artery Embolization*;
Uterine Artery*;
Uterine Hemorrhage
- From:Korean Journal of Obstetrics and Gynecology
2004;47(4):795-799
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Placenta accreta is a rare but potentially lethal obstetric emergency due to massive hemorrhage, uterine perforation, and infection. Traditionally, hysterectomy was performed in the occurrence of serious hemorrhage. Currently, several conservative treatments including the use of uterine packing, leaving the placenta in situ, argon-beam coagulation, uterine artery ligation, administration of methotrexate, and uterine artery embolizations are introduced to preserve future reproductive potential. We present a patient with placenta accreta treated successfully with selective uterine artery embolization followed by methotrexate with brief review of literature.