One Case of Placenta Accreta Treated with Selective Uterine Artery Embolization Followed by Methotrexate.

Cho, Si Hyun; Bai, Sang Wook; Kwon, Ja Young; Koo, Ja Seong; Kim, Sei Kwang; Park, Ki Hyun

Case Report

Korean Journal of Obstetrics & Gynecology 2004;47(4):795-799.
Published online April 1, 2004.

One Case of Placenta Accreta Treated with Selective Uterine Artery Embolization Followed by Methotrexate.

Si Hyun Cho, Sang Wook Bai, Ja Young Kwon, Ja Seong Koo, Sei Kwang Kim, Ki Hyun Park

Department of Obstetrics and Gynecology Yonsei University College of Medicine, Seoul, Korea.

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.

Key Words: Placenta accreta, Selective uterine artery embolization, Methotrexate