The Conservative Management of Placenta Previa Percreta: Presentation of Two Cases

Objective: In this case report, we aimed to discuss two cases with placenta previa percreta who were managed and treated successfully by being applied methotrexate in the postoperative period. Methods: Both of the two cases who were undergone operation immediately due to previous cesarean deliveries applied to our clinic as onset of labors. The placentas were left in uterus due to fertility desires of women who were diagnosed placenta percreta in surgery. The patients who were managed with conservative therapy were followed up by serum human chorionic gonadotrophin (hCG) levels, ultrasonography and magnetic resonance imaging. After therapy, decrease of serum hCG levels, vascularisation and size of the placenta were observed. Conclusion: Placenta percreta which cause serious morbidity and mortality is one of the most important complications of pregnancy. To decrease morbidity and preserve fertility, conservative treatment may be thought firstly.