One case of placenta increta successfully treated with methotrexate.

Kim, Myung sin; Lee, Hyun ui; Yoon, Jung min; Hwang, Kyu ri; Jun, Hye won

Obstet Gynecol Sci > Volume 51(11); 2008 > Article

Case Report

Korean Journal of Obstetrics & Gynecology 2008;51(11):1342-1346.
Published online November 1, 2008.

One case of placenta increta successfully treated with methotrexate.

Myung sin Kim, Hyun ui Lee, Jung min Yoon, Kyu ri Hwang, Hye won Jun

¹Department of Obstetrics & Gynecology Seoul University College of Medicine, Seoul, Korea.
²Department of Obstetrics & Gynecology, Seoul Municipal Boramae Medical Center, Seoul, Korea. orangemed@snu.ac.kr

Abstract

Placenta increta is a kind of placental adhesion which can cause severe postpartum hemorrhage and life-threatening condition. It might necessitate a hysterectomy, but conservative management can be considerable for preserving reproductive potential when possible. A 34-years-old woman in her 41st week of pregnancy had normal full term spontaneous delivery. Retained placenta after removal by placenta forceps resulted in mild bleeding. Placenta increta was clinically diagnosed on computerized tomography. Remnant placenta in situ was nearly disappeared 2 months later after five-time intramuscular injection of 50 mg methotrexate and three-times curettage was done for conservative management.

Key Words: Placenta increta, Methotrexate