Document Detail


Antenatal diagnosis of placenta percreta with planned in situ retention and methotrexate therapy in a woman infected with HIV.
MedLine Citation:
PMID:  12100427     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Placenta percreta is a rare obstetric condition associated with potentially life-threatening hemorrhage. Diagnosis in advance of delivery permits a planned delivery and preparation for blood transfusions and planned Cesarean hysterectomy, which is the common treatment. We report a case of placenta percreta in an HIV-positive patient which was diagnosed in the second trimester using conventional and extended field of view ultrasound imaging and color Doppler. At 36 weeks the infant was delivered by Cesarean section and the placenta was left in situ. Postoperatively the patient was treated with methotrexate. Four weeks later, the patient delivered the placenta spontaneously. Early or late postpartum hemorrhage did not occur and postoperative recovery was uneventful.
Authors:
W Henrich; I Fuchs; T Ehrenstein; S Kjos; A Schmider; J W Dudenhausen
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology     Volume:  20     ISSN:  0960-7692     ISO Abbreviation:  Ultrasound Obstet Gynecol     Publication Date:  2002 Jul 
Date Detail:
Created Date:  2002-07-08     Completed Date:  2002-10-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9108340     Medline TA:  Ultrasound Obstet Gynecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  90-3     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Radiology, Charité, Campus Vichow-Clinic, Berlin, Germany. wolfgang.henrich@charite.de
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MeSH Terms
Descriptor/Qualifier:
Adult
Cesarean Section
Female
HIV Infections / complications*
Humans
Hysterectomy
Magnetic Resonance Imaging
Methotrexate / therapeutic use*
Placenta Accreta / diagnosis*,  therapy*
Pregnancy
Pregnancy Complications, Infectious*
Pregnancy Trimester, Second
Prenatal Diagnosis*
Ultrasonography, Doppler, Color
Ultrasonography, Prenatal
Chemical
Reg. No./Substance:
59-05-2/Methotrexate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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