title: Placenta previa percreta left in situ - management by delayed hysterectomy: a case report.
abstract: BACKGROUND
  Placenta percreta is an obstetric emergency often associated with massive hemorrhage and emergency hysterectomy.
  
  
  METHODS
  We present the case of a 30-year-old African woman, gravida 7, para 5, with placenta percreta managed by an alternative approach: the placenta was left in situ, methotrexate was administered, and a delayed hysterectomy was successfully performed.
  
  
  CONCLUSIONS
  Further studies are needed to develop the most appropriate management option for the most severe cases of abnormal placentation. Delayed hysterectomy may be a reasonable strategy in the most severe cases.
authors.affiliation: Helsinki University Hospital, Department of Obstetrics and Gynecology, Helsinki, Finland. jorma.paavonen@hus.fi.
authors.forename: Minna
authors.initials: M
authors.lastname: Tikkanen
authors.forename: Vedran
authors.initials: V
authors.lastname: Stefanovic
authors.forename: Jorma
authors.initials: J
authors.lastname: Paavonen