title: Acute trophoblastic pulmonary embolism during conservative treatment of placenta accreta: case report and review of literature.
abstract: BACKGROUND
  Placenta accreta is a rare obstetric condition but can lead to life-threatening complications that was mainly diagnosed in the third trimester. We present a case of acute trophoblastic pulmonary embolism (PE) during conservative treatment of placenta accreta.
  
  
  METHODS
  A 24-year-old patient who delivered vaginally at 40(+4) weeks gestation. The placenta was retained despite the use of oxytocics and attempts of manual removal. Conservative management including uterine arteria embolism, hysteroscopic resection and mifepristone was used but failed and finally the patient died from acute trophoblastic PE and allergic shock when infusing povidone-iodine into her uterine cavity.
  
  
  CONCLUSIONS
  Although conservative treatment of placenta accreta can retain reproductive potential and trophoblastic PE is rare, clinicians should consider hysterectomy when conservative treatment failed and infusion of povidone-iodine or other liquid into the cavity should be prohibited.
authors.affiliation: Department of Gynecology, The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, 450000, China. 985562769@qq.com.
authors.forename: Qiu-Ming
authors.initials: QM
authors.lastname: Wang
authors.affiliation: Department of Gynecology, Henan Provincial People's Hospital, Zhengzhou, 450000, China. liuhuili72@sohu.com.
authors.forename: Hui-Li
authors.initials: HL
authors.lastname: Liu
authors.affiliation: Department of Gynecology, Henan Provincial People's Hospital, Zhengzhou, 450000, China. doctordangqun@163.com.
authors.forename: Qun
authors.initials: Q
authors.lastname: Dang
mesh_terms: D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods; D015735:Mifepristone / Q000627:therapeutic use; D010921:Placenta Accreta / Q000628:therapy*; D011247:Pregnancy; D011655:Pulmonary Embolism / Q000209:etiology*; D055357:Uterine Artery Embolization / Q000379:methods*; D055815:Young Adult
chemical_list: D015735:Mifepristone