Conservative management of placenta increta with selective arterial embolization preserves future fertility and results in a favorable outcome in subsequent pregnancies.
OBJECTIVE
To present a case of selective arterial embolization for the treatment of placenta increta in a patient with subsequent pregnancy.


METHODS
Case report and literature review.


METHODS
Community-based hospital.


METHODS
A 31-year-old G2P1 woman with placenta increta presenting with delayed postpartum hemorrhage.


METHODS
Selective uterine artery embolization.


METHODS
Cessation of uterine hemorrhage, future pregnancy.


RESULTS
The patient's uterine bleeding immediately resolved. She subsequently delivered a healthy neonate at term without recurrence of abnormal placentation.


CONCLUSIONS
Arterial embolization is effective for treating placenta increta in women who wish to preserve fertility. A review of the literature demonstrates a 76.9% success rate and an 11% complication rate.
Alanis
Mark
M
Department of Obstetrics and Gynecology, Carolinas Medical Center, Charlotte, North Carolina 28232, USA.
Hurst
Bradley S
BS
Marshburn
Paul B
PB
Matthews
Michelle L
ML
D000328:Adult; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D005298:Fertility; D006801:Humans; D010921:Placenta Accreta / Q000628:therapy*; D011247:Pregnancy; D011256:Pregnancy Outcome; D016896:Treatment Outcome