Vol 86, No 8 (2015)
ARTICLES
Successful treatment of placenta percreta trough a combinatioral treatment incolving a Bakri balloon an metotrexate: a case report
Nermin Akdemir, Arif Serhan Cevrioğlu, Selçuk Özden, Yasemin Gündüz, Gökçen İlhan
DOI: 10.17772/gp/58974
·
Ginekol Pol 2015;86(8).
Vol 86, No 8 (2015)
ARTICLES
Abstract
Placental percreta is a complication involving an abnormally deep placental attachment to the myometrium,
resulting in obstetric hemorrhage and peripartum hysterectomy. A 38-year-old pregnant woman, with a history of
2 Cesarean births, myomectomy, 9 pregnancies, and 6 spontaneous abortions, was admitted after experiencing
intrauterine fetal death, which occurred at 19 weeks gestation. The patient was referred to our institution after 8
days of unsuccessful medical treatment. Doppler ultrasonography and vacuum curettage revealed possible signs
of abnormal placentation. Because of the unsuccessful separation of the placenta and massive bleeding, we used
a Bakri Balloon to treat excessive bleeding during the acute phase, followed by the conservative administration of
parenteral methotrexate to treat the spontaneous involution of the placenta at 7 weeks of conservative therapy.
Bakri Balloon and methotrexate application to treat bleeding after curettage is a useful choice in placenta percreta
and hemorrhage after abortion.
Abstract
Placental percreta is a complication involving an abnormally deep placental attachment to the myometrium,
resulting in obstetric hemorrhage and peripartum hysterectomy. A 38-year-old pregnant woman, with a history of
2 Cesarean births, myomectomy, 9 pregnancies, and 6 spontaneous abortions, was admitted after experiencing
intrauterine fetal death, which occurred at 19 weeks gestation. The patient was referred to our institution after 8
days of unsuccessful medical treatment. Doppler ultrasonography and vacuum curettage revealed possible signs
of abnormal placentation. Because of the unsuccessful separation of the placenta and massive bleeding, we used
a Bakri Balloon to treat excessive bleeding during the acute phase, followed by the conservative administration of
parenteral methotrexate to treat the spontaneous involution of the placenta at 7 weeks of conservative therapy.
Bakri Balloon and methotrexate application to treat bleeding after curettage is a useful choice in placenta percreta
and hemorrhage after abortion.
Keywords
placenta percreta / hemorrhage / methotrexate / therapy
Title
Successful treatment of placenta percreta trough a combinatioral treatment incolving a Bakri balloon an metotrexate: a case report
Journal
Ginekologia Polska
Issue
Vol 86, No 8 (2015)
Page views
1026
Article views/downloads
1138
DOI
10.17772/gp/58974
Bibliographic record
Ginekol Pol 2015;86(8).
Keywords
placenta percreta / hemorrhage / methotrexate / therapy
Authors
Nermin Akdemir
Arif Serhan Cevrioğlu
Selçuk Özden
Yasemin Gündüz
Gökçen İlhan
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