title: Complete resolution of diffuse placenta increta in a primigravida with twin pregnancy: sonographic monitoring.
abstract: We report a case of timely diagnosis of placenta increta by sonography during the third stage of labor, which avoided any attempt at manual removal of a retained placenta and thus prevented additional postpartum bleeding. The use of intra-cervical injection of vasopressin and methotrexate and application of transcatheter arterial embolization of bilateral uterine arteries and right internal iliac arteries resulted in a good outcome.
authors.affiliation: Department of Obstetrics and Gynecology, Kaohsiung Veterans General Hospital, Kaohsiung 813, Taiwan. fncho@isca.vghks.gov.tw
authors.forename: Fu-Nan
authors.initials: FN
authors.lastname: Cho
authors.forename: Cheng-Bin
authors.initials: CB
authors.lastname: Liu
authors.forename: Ju-Yueh
authors.initials: JY
authors.lastname: Li
authors.forename: San-Nung
authors.initials: SN
authors.lastname: Chen
mesh_terms: D000328:Adult; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D007749:Labor Stage, Third; D007744:Obstetric Labor Complications / Q000628:therapy; D010921:Placenta Accreta / Q000000981:diagnostic imaging* / Q000601:surgery; D006473:Postpartum Hemorrhage / Q000628:therapy; D011247:Pregnancy; D059285:Pregnancy, Twin; D016896:Treatment Outcome; D014463:Ultrasonography