A Case of Placenta Percreta Managed with Sequential Embolisation Procedures

BACKGROUNDThe incidence of morbidly adherent placenta, including placenta percreta, has increased significantly over recent years due to rising caesarean section rates. Historically, abnormally invasive placenta has been managed with caesarean hysterectomy; however nonsurgical interventions such as...

Full description

Saved in:
Bibliographic Details
Published in:Case reports in obstetrics and gynecology 2018, Vol.2018, p.7213689-7213689
Main Authors: Armstrong-Kempter, Shannon, Kapurubandara, Supuni, Trudinger, Brian, Young, Noel, Arrage, Naim
Format: Report
Language:English
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:BACKGROUNDThe incidence of morbidly adherent placenta, including placenta percreta, has increased significantly over recent years due to rising caesarean section rates. Historically, abnormally invasive placenta has been managed with caesarean hysterectomy; however nonsurgical interventions such as uterine artery embolisation (UAE) are emerging as safe alternative management techniques. UAE can be utilised to decrease placental perfusion and encourage placental resorption, thereby reducing the risk of haemorrhage and other morbidities. CASEWe describe one of the very few reported cases of placenta percreta which was successfully treated primarily with sequential artery embolisation. Our patient underwent four embolisation procedures over a period of 248 days, with no major morbidity or complications. CONCLUSIONRepeat UAE may be a beneficial primary management modality in cases of placenta percreta with bladder involvement.
ISSN:2090-6684
DOI:10.1155/2018/7213689