Volume 10, Issue 3 (7-2012)                   IJRM 2012, 10(3): 271-274 | Back to browse issues page

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1- Zeynep Kamil Training and Research Hospital, Uskudar, İstanbul, Turkey
2- Sakarya Education and Training Hospital, Sakarya, Turkey
3- Zeynep Kamil Training and Research Hospital, Uskudar, İstanbul, Turkey , enamazov@gmail.com
Abstract:   (2342 Views)
Background: Abnormal placental invasion has increased parallel with persistent rise in Caesarean delivery. Management relies on accurate diagnosis and delivery should be planned at an institution with appropriate expertise and resources for managing this condition.
Case: We present a case of a placenta invasion anomaly which is the major risk factors of peripartum deaths. In this case we try to explain our approach which reduces unnecessary hysterectomy rates.
Conclusion: In order to avoid postpartum hemorrhage and hysterectomy protocols, our approach which consists bilateral hypogastric arterial ligation, Bakri balloon tamponade and ıf necessary methotrexate therapy can be applied succesfully.
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Type of Study: Case Report |

References
1. Lax A, Prince MR, Mennitt KW, Schwebach JR, Budorick NE. The value of specific MRI features in the evaluation of suspected placentaL invasion. Magn Reson Imaging 2007; 25: 87-93. [DOI:10.1016/j.mri.2006.10.007]
2. Oyelese Y, Smulian JC. Placenta previa, placenta accreta, and vasa previa. Obstet Gynecol 2006; 107: 927-941. [DOI:10.1097/01.AOG.0000207559.15715.98]
3. World Health Organization (WHO). Attending to 136 MillionBirths, Every Year: Make Every Mother and Child Count: The World Report 2005. Geneva; Switzerland: WHO; 2005: 62-63.
4. Crowhurst JA, Plaat F. Why mothers die- Report on confidential enquiries into maternal deaths in the United Kingdom 1994–96. Anaesthesia 1999; 54: 207-209. [DOI:10.1046/j.1365-2044.1999.00854.x]
5. Berg CJ, Atrash HK, Koonin LM, Tucker M. Pregnancy-related mortality in the United States, 1987-1990. Obstet Gynecol 1996; 88: 161-167. [DOI:10.1016/0029-7844(96)00135-4]
6. Stanco LM, Schrimmer DB, Paul RH, Mishell DR Jr. Emergency peripartum hysterectomy and associated risk factors. Am J Obstet Gynecol 1993; 168: 879-883. [DOI:10.1016/S0002-9378(12)90838-8]
7. Kidney DD, Nguyen AM, Ahdoot D, Bickmore D, Deutsch LS, MajorsC. Prophylactic perioperative hypogastric artery balloon occlusion abnormal placentation. AJR Am J Roentgenol 2001; 176: 1521-1524. [DOI:10.2214/ajr.176.6.1761521]
8. Greenberg JI, Suliman A, Iranpour P, Angle N. Prophylactic balloon occlusion of the internal iliac arteries to treat abnormal placentation: a cautionary case. Am J Obstet Gynecol 2007; 197: 471-744. [DOI:10.1016/j.ajog.2007.05.017]
9. Vitthala S, Tsoumpou I, Anjum Z., Aziz N Use of Bakri balloon in post-partum haemorrhage: A series of 15 cases Australian and New Zealand. J Obstet Gynaecol 2009; 49: 191-194 [DOI:10.1111/j.1479-828X.2009.00968.x]
10. Bakri YN, Amri A, Abdul Jabbar F. Tamponade-balloon for obstetrical bleeding. Int J Gynaecol Obstet 2001; 74: 139-142. [DOI:10.1016/S0020-7292(01)00395-2]
11. Georgiou C Balloon tamponade in the management of postpartum haemorrhage: a Review. BJOG 2009; 116: 748-757. [DOI:10.1111/j.1471-0528.2009.02113.x]
12. Timmermans S, van Hof AC, Duvekot JJ. Conservative management of abnormally invasive placentation. Obstet Gynecol Surv 2007; 62: 529-539. [DOI:10.1097/01.ogx.0000271133.27011.05]

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