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- Title
Magnetic resonance imagining (MRI) and serial β-human chorionic gonadotrophin ( β-hCG) follow up for placenta percreta.
- Authors
El-Bialy, Gehan; Kassab, Ahmed; Armstrong, Magi
- Abstract
Placenta percreta is a rare obstetric condition associated with life-threatening hemorrhage. MR imaging has a role in prenatal diagnosis of these cases. However, its role in the postnatal diagnosis and in the follow up yet to be established. A 33-year-old patient has adherent placenta following spontaneous delivery at 37 weeks gestation. MR imaging diagnosed placenta percreta. Intramuscular methotrexate treatment was initiated with follow up with serial β-human chorionic gonadotrophin ( β-hCG). In spite of dropping of the level of β-hCG, the trophoblastic tissue was still present 6 weeks postnatally where the patient complained of vaginal bleeding where she opted to abdominal hysterectomy. Patients who are suitable for non-surgical therapy, T2-weighted MR imaging may, in conjunction with serial β-hCG assays, provide an alternative treatment modality for cases of placenta percreta.
- Subjects
PLACENTA; IMMUNOSUPPRESSIVE agents; OBSTETRICAL diagnosis; HEMORRHAGE; HYSTERECTOMY; MAGNETIC resonance imaging
- Publication
Archives of Gynecology & Obstetrics, 2007, Vol 276, Issue 4, p371
- ISSN
0932-0067
- Publication type
Article
- DOI
10.1007/s00404-007-0351-3