Placenta previa percreta left in situ - management by delayed hysterectomy: a case report
Helsinki University Hospital, Department of Obstetrics and Gynecology, Helsinki, Finland
Journal of Medical Case Reports 2011, 5:418 doi:10.1186/1752-1947-5-418Published: 25 August 2011
Placenta percreta is an obstetric emergency often associated with massive hemorrhage and emergency hysterectomy.
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.
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.