INTRODUCTION: Placenta percreta is an obstetric emergency often associated with massive hemorrhage and emergency hysterectomy. CASE PRESENTATION: We present the case of a 30-year-old African woman, gravida 7, para 5, with placenta percreta managed by an alternative approach: the placenta was left in situ, methotrexate was administered, and a delayed hysterectomy was successfully performed. CONCLUSIONS: Further studies are needed to develop the most appropriate management option for the most severe cases of abnormal placentation. Delayed hysterectomy may be a reasonable strategy in the most severe cases.
INTRODUCTION:Placenta percreta is an obstetric emergency often associated with massive hemorrhage and emergency hysterectomy. CASE PRESENTATION: We present the case of a 30-year-old African woman, gravida 7, para 5, with placenta percreta managed by an alternative approach: the placenta was left in situ, methotrexate was administered, and a delayed hysterectomy was successfully performed. CONCLUSIONS: Further studies are needed to develop the most appropriate management option for the most severe cases of abnormal placentation. Delayed hysterectomy may be a reasonable strategy in the most severe cases.
Authors: Carri R Warshak; Ramez Eskander; Andrew D Hull; Angela L Scioscia; Robert F Mattrey; Kurt Benirschke; Robert Resnik Journal: Obstet Gynecol Date: 2006-09 Impact factor: 7.661
Authors: Carri R Warshak; Gladys A Ramos; Ramez Eskander; Kurt Benirschke; Cheryl C Saenz; Thomas F Kelly; Thomas R Moore; Robert Resnik Journal: Obstet Gynecol Date: 2010-01 Impact factor: 7.661
Authors: Mitchel S Hoffman; Rachel A Karlnoski; Devanand Mangar; Valerie E Whiteman; Bruce R Zweibel; Jorge L Lockhart; Enrico M Camporesi Journal: Am J Obstet Gynecol Date: 2010-06 Impact factor: 8.661
Authors: Saad A A El Gelany; Ahmed R Abdelraheim; Mo'men M Mohammed; Mohammed T Gad El-Rab; Ayman M Yousef; Emad M Ibrahim; Eissa M Khalifa Journal: BMC Pregnancy Childbirth Date: 2015-11-11 Impact factor: 3.007