Role of methotrexate and uterine artery embolization in a case of placenta accreta
International Journal of Development Research
Role of methotrexate and uterine artery embolization in a case of placenta accreta
Received 05th August 2017; Received in revised form 19th September, 2017; Accepted 18th October, 2017; Published online 30th November, 2017
Copyright ©2017, Dr. Nishi Gupta and Dr. Aditi Sehgal. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Placenta accreta occurs due to abnormally invasive implantation of placenta. Diagnosis can be made during pregnancy by ultrasound. It may cause severe postpartum hemorrahge that may even require obstetric hysterectomy. We report a case of sonographically diagnosed placenta accreta in a patient with previous 2 cesarean sections. conservative management was attempted with methotrexate and uterine artery embolization. It was not successful and patient started developing features of sepsis. She underwent abdominal hysterectomy. But her blood loss was optimal and she remained haemodynamically stable throughout her hospital stay.
