A Case of Placenta Percreta Managed with Sequential Embolisation Procedures
Background. The incidence of morbidly adherent placenta, including placenta percreta, has increased significantly over recent years due to rising caesarean section rates. Historically, abnormally invasive placenta has been managed with caesarean hysterectomy; however nonsurgical interventions such a...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2018-01-01
|
| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2018/7213689 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832566990673281024 |
|---|---|
| author | Shannon Armstrong-Kempter Supuni Kapurubandara Brian Trudinger Noel Young Naim Arrage |
| author_facet | Shannon Armstrong-Kempter Supuni Kapurubandara Brian Trudinger Noel Young Naim Arrage |
| author_sort | Shannon Armstrong-Kempter |
| collection | DOAJ |
| description | Background. The incidence of morbidly adherent placenta, including placenta percreta, has increased significantly over recent years due to rising caesarean section rates. Historically, abnormally invasive placenta has been managed with caesarean hysterectomy; however nonsurgical interventions such as uterine artery embolisation (UAE) are emerging as safe alternative management techniques. UAE can be utilised to decrease placental perfusion and encourage placental resorption, thereby reducing the risk of haemorrhage and other morbidities. Case. We describe one of the very few reported cases of placenta percreta which was successfully treated primarily with sequential artery embolisation. Our patient underwent four embolisation procedures over a period of 248 days, with no major morbidity or complications. Conclusion. Repeat UAE may be a beneficial primary management modality in cases of placenta percreta with bladder involvement. |
| format | Article |
| id | doaj-art-c43916c795b246eb8e163dbb58e9232d |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-c43916c795b246eb8e163dbb58e9232d2025-02-03T01:02:41ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922018-01-01201810.1155/2018/72136897213689A Case of Placenta Percreta Managed with Sequential Embolisation ProceduresShannon Armstrong-Kempter0Supuni Kapurubandara1Brian Trudinger2Noel Young3Naim Arrage4Department of Women’s and Newborn Health, Westmead Hospital, Westmead, NSW 2145, AustraliaDepartment of Women’s and Newborn Health, Westmead Hospital, Westmead, NSW 2145, AustraliaUniversity of Sydney, Camperdown, NSW 2006, AustraliaWestern Sydney University, Campbelltown, NSW 2560, AustraliaDepartment of Women’s and Newborn Health, Westmead Hospital, Westmead, NSW 2145, AustraliaBackground. The incidence of morbidly adherent placenta, including placenta percreta, has increased significantly over recent years due to rising caesarean section rates. Historically, abnormally invasive placenta has been managed with caesarean hysterectomy; however nonsurgical interventions such as uterine artery embolisation (UAE) are emerging as safe alternative management techniques. UAE can be utilised to decrease placental perfusion and encourage placental resorption, thereby reducing the risk of haemorrhage and other morbidities. Case. We describe one of the very few reported cases of placenta percreta which was successfully treated primarily with sequential artery embolisation. Our patient underwent four embolisation procedures over a period of 248 days, with no major morbidity or complications. Conclusion. Repeat UAE may be a beneficial primary management modality in cases of placenta percreta with bladder involvement.http://dx.doi.org/10.1155/2018/7213689 |
| spellingShingle | Shannon Armstrong-Kempter Supuni Kapurubandara Brian Trudinger Noel Young Naim Arrage A Case of Placenta Percreta Managed with Sequential Embolisation Procedures Case Reports in Obstetrics and Gynecology |
| title | A Case of Placenta Percreta Managed with Sequential Embolisation Procedures |
| title_full | A Case of Placenta Percreta Managed with Sequential Embolisation Procedures |
| title_fullStr | A Case of Placenta Percreta Managed with Sequential Embolisation Procedures |
| title_full_unstemmed | A Case of Placenta Percreta Managed with Sequential Embolisation Procedures |
| title_short | A Case of Placenta Percreta Managed with Sequential Embolisation Procedures |
| title_sort | case of placenta percreta managed with sequential embolisation procedures |
| url | http://dx.doi.org/10.1155/2018/7213689 |
| work_keys_str_mv | AT shannonarmstrongkempter acaseofplacentapercretamanagedwithsequentialembolisationprocedures AT supunikapurubandara acaseofplacentapercretamanagedwithsequentialembolisationprocedures AT briantrudinger acaseofplacentapercretamanagedwithsequentialembolisationprocedures AT noelyoung acaseofplacentapercretamanagedwithsequentialembolisationprocedures AT naimarrage acaseofplacentapercretamanagedwithsequentialembolisationprocedures AT shannonarmstrongkempter caseofplacentapercretamanagedwithsequentialembolisationprocedures AT supunikapurubandara caseofplacentapercretamanagedwithsequentialembolisationprocedures AT briantrudinger caseofplacentapercretamanagedwithsequentialembolisationprocedures AT noelyoung caseofplacentapercretamanagedwithsequentialembolisationprocedures AT naimarrage caseofplacentapercretamanagedwithsequentialembolisationprocedures |