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EP22.18: Conservative management of placenta percreta to preserve fertility: a photo series and subsequent pregnancy outcomes
Author(s) -
Chen S.,
Adno A.,
Hollis B.,
Rahimpanah F.
Publication year - 2019
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.21601
Subject(s) - medicine , placenta percreta , obstetrics , placenta accreta , pregnancy , placenta , hysterectomy , placentation , gynecology , caesarean section , surgery , fetus , genetics , biology
Case Report A 32 year old G9P4 was seen in the Feto-Maternal Unit to assess abnormal placentation at 23 weeks. Her obstetric history included a vaginal delivery followed by 3 CS and 4 terminations of pregnancy. Ultrasound and MRI confirmed an anterior placenta praevia with full thickness myometrial involvement and suspected bladder invasion (Figure 1). The patient was managed in a multi-disciplinary team within a tertiary hospital and counselled regarding peripartum hysterectomy (PH) and possible cystotomy, however she expressed desire for future fertility.