Complete resolution of diffuse placenta increta in a primigravida with twin pregnancy: sonographic monitoring

J Clin Ultrasound. 2011 Jul;39(6):363-6. doi: 10.1002/jcu.20768. Epub 2011 May 9.

Abstract

We report a case of timely diagnosis of placenta increta by sonography during the third stage of labor, which avoided any attempt at manual removal of a retained placenta and thus prevented additional postpartum bleeding. The use of intra-cervical injection of vasopressin and methotrexate and application of transcatheter arterial embolization of bilateral uterine arteries and right internal iliac arteries resulted in a good outcome.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Embolization, Therapeutic
  • Female
  • Humans
  • Labor Stage, Third
  • Obstetric Labor Complications / therapy
  • Placenta Accreta / diagnostic imaging*
  • Placenta Accreta / surgery
  • Postpartum Hemorrhage / therapy
  • Pregnancy
  • Pregnancy, Twin*
  • Treatment Outcome
  • Ultrasonography