Chronic abnormally adherent placenta: A case report 

Hayden Fox, Heather Pate, Micah Wright, Michael Gold, William Po

Research output: Contribution to conferencePoster

Abstract

We present an unusual case of retained placental products with concern for placenta accreta six weeks following a spontaneous vaginal delivery in a primiparous woman. A 19-year-old female presented to us as a transfer of care secondary to vaginal bleeding six weeks following her delivery. Imaging at outlying facility revealed retained placental products with concern for possible accreta as well as a possible mullein anomaly. She also reported a suction dilation and curettage immediately following her delivery as well as a subsequent suction dilation and curettage two weeks after the initial. Abdominal imaging revealed retained placental products with concern for placenta accreta due to her clinical situation. The patient was given a single dose of methotrexate. This treatment regimen was successful in helping the patient pass the remaining products of conception without invasive surgery or surgical loss of fertility. Retained placenta with imaging concerning for placenta accreta in the setting of a primiparous women is a clinical oddity and is often associated with definitive surgical treatment via a hysterectomy. This case report reveals less invasive and fertility sparing option which may be appropriate for certain patients.
Original languageAmerican English
StatePublished - 4 Sep 2020
EventOklahoma State University Center for Health Sciences Research Day 2020 - Oklahoma State University Center for Health Sciences College of Osteopathic Medicine, Tulsa, United States
Duration: 27 Feb 202028 Feb 2020

Conference

ConferenceOklahoma State University Center for Health Sciences Research Day 2020
CountryUnited States
CityTulsa
Period27/02/2028/02/20

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