A Case of Placenta Previa-Percreta Treated with Methotrexate Treatment.

Park, Jung Hee; Park, Jong Du; Lee, Joon Hyeong; Kim, Hyeong Yong; Park, Hyun Joong; Go, Duk Yung; Hong, Kyung Hee

Obstet Gynecol Sci > Volume 40(9); 1997 > Article

Case Report

Korean Journal of Obstetrics & Gynecology 1997;40(9):2067-2071.
Published online January 1, 2001.

A Case of Placenta Previa-Percreta Treated with Methotrexate Treatment.

Jung Hee Park, Jong Du Park, Joon Hyeong Lee, Hyeong Yong Kim, Hyun Joong Park, Duk Yung Go, Kyung Hee Hong

Department of Obstetrics and Gynecology, Kwang Myoung Seong Ae Hospital, Seoul, Korea.

Abstract

Placenta previa-percreta is a rare but highly morbid condition usually diagnosed clinically, intraoperatively. The cause of placenta accreta is considered to be deficient decidualization and absence of the fibrinous layer of Nitabuch. The condition is usually, but not always, seen in women having previous trauma, eg, cesarean section, manual removal of placenta, or curettage. Magnetic resonance imaging(MRI) might allow antepartum diagnosis of the this condition. Management included cesarean supracervical hysterectomy and bilateral hypogastric arterial ligation, and adjuvant methotrexate administration. We experienced a case of placenta previa percreta at 40 weeks gestational age. Here we present the case with brief review of literature.

Key Words: Placenta previa-percreta, Csarean section, Nthotrexate, magnetic resonance