Embolization for advanced abdominal pregnancy with a retained placenta. A case report.
BACKGROUND
Abdominal pregnancy is not encountered commonly, and management of the placenta is controversial.


METHODS
A 33-year-old woman presented with an abdominal pregnancy at 33 weeks' gestation with fetal death. The placental vasculature was embolized preoperatively. Following operative delivery. of the fetus, the placenta was left in situ in efforts to preserve fertility given its implantation on the reproductive organs. The patient suffered prolonged postoperative ileus but otherwise did well. Placental function ceased after two months.


CONCLUSIONS
Placental vasculature embolization is a management option for a retained placenta associated with abdominal pregnancy.
Cardosi
Richard J
RJ
Divisions of Gynecologic Oncology and Reproductive Endocrinology, Department of Obstetrics and Gynecology, University of South Florida, Tampa, USA.
Nackley
Anna C
AC
Londono
Jorge
J
Hoffman
Mitchel S
MS
D000328:Adult; D000792:Angiography; D016063:Blood Loss, Surgical; D002585:Cesarean Section; D004621:Embolization, Therapeutic / Q000009:adverse effects / Q000379:methods*; D005260:Female; D005313:Fetal Death / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D005781:Gelatin Sponge, Absorbable / Q000627:therapeutic use; D006801:Humans; D007418:Intestinal Pseudo-Obstruction / Q000209:etiology; D018457:Placenta, Retained / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D011247:Pregnancy; D011263:Pregnancy Trimester, Third; D011269:Pregnancy, Abdominal / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D011300:Preoperative Care / Q000379:methods*; D016216:Ultrasonography, Prenatal; D014599:Uterus / Q000098:blood supply