Open Access 01-12-2011 | Case report
Placenta previa percreta left in situ - management by delayed hysterectomy: a case report
Published in: Journal of Medical Case Reports | Issue 1/2011
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Introduction
Placenta percreta is an obstetric emergency often associated with massive hemorrhage and emergency hysterectomy.
Case presentation
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.
Conclusions
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.