Lower uterine segment pregnancy with placenta increta complicating first trimester induced abortion: diagnosis and conservative management.
OBJECTIVE
To discuss the diagnosis of and conservative management for lower uterine segment pregnancy with placenta increta complicating first trimester abortion.


METHODS
Four patients with previous caesarean section and severe hemorrhage in induced abortion in the first trimester were studied. Uterine artery embolization (UAE) was used to control bleeding and preserve the uterus.


RESULTS
UAE controlled heavy uterine bleeding satisfactorily. One of the four patients asked for a hysterectomy after UAE, and her pathology report confirmed "lower uterine segment pregnancy with placenta increta".


CONCLUSIONS
Previous caesarean section is a risk factor for lower uterine segment pregnancy with placenta increta. UAE is one of the best conservative management methods for heavy hemorrhage, especially for women who desire future fertility.
Liu
Xinyan
X
Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100730, China. menglxy@hotmail.com.cn
Fan
Guangsheng
G
Jin
Zhengyu
Z
Yang
Ning
N
Jiang
Yuxin
Y
Gai
Mingying
M
Guo
Lina
L
Wang
Youfang
Y
Lang
Jinghe
J
D000028:Abortion, Induced / Q000009:adverse effects*; D000328:Adult; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D010921:Placenta Accreta / Q000175:diagnosis / Q000628:therapy*; D011247:Pregnancy; D011261:Pregnancy Trimester, First; D014592:Uterine Hemorrhage / Q000209:etiology / Q000628:therapy*; D014599:Uterus / Q000473:pathology