Document Detail


Placenta accreta following uterine artery embolization.
MedLine Citation:
PMID:  20708528     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Uterine artery embolization (UAE) is becoming a common treatment for symptomatic leiomyoma. Several pregnancies following UAE have been reported. However, reports are still limited and the risk of complications remains unknown.
CASE REPORT: A primigravida conceived after UAE for leiomyoma. She delivered spontaneously at 34 weeks plus 2 days after premature rupture of the membranes. The placenta was located on the interstitial leiomyoma. The patient required manual placental extraction owing to retained placenta and subsequently underwent emergency supracervical hysterectomy for severe postpartum hemorrhage. Placenta accreta was confirmed histologically.
CONCLUSION: Placenta accreta may occur during pregnancy following UAE. When the implantation site is on the leiomyoma with a hyperechoic rim, there is a high risk of abnormal placental adherence.
Authors:
Hironori Takahashi; Satoshi Hayashi; Kentaro Matsuoka; Michihiro Kitagawa
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Taiwanese journal of obstetrics & gynecology     Volume:  49     ISSN:  1875-6263     ISO Abbreviation:  Taiwan J Obstet Gynecol     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-08-16     Completed Date:  2010-12-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101213819     Medline TA:  Taiwan J Obstet Gynecol     Country:  China    
Other Details:
Languages:  eng     Pagination:  197-8     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Taiwan Association of Obstetrics and Gynecology. Published by Elsevier B.V. All rights reserved.
Affiliation:
Department of Perinatal Medicine and Maternal Care, National Center for Child Health and Development, Tokyo, Japan. hironori@alto.ocn.ne.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Fetal Membranes, Premature Rupture
Humans
Hysterectomy
Leiomyoma / therapy
Placenta Accreta / etiology*
Postpartum Hemorrhage / etiology,  surgery
Pregnancy
Uterine Artery Embolization / adverse effects*
Uterine Neoplasms / therapy

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


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