World Journal of Anemia

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VOLUME 2 , ISSUE 1 ( January-March, 2018 ) > List of Articles

CASE REPORT

A Rare Case of Morbidly Adherent Placenta in a Young Primipara managed Conservatively

Balwinder Kaur, Manjeet Kaur, Beant Singh, Santosh Kumari

Keywords : Manual removal of the placenta, Methotrexate, Piecemeal, Placenta accreta

Citation Information : Kaur B, Kaur M, Singh B, Kumari S. A Rare Case of Morbidly Adherent Placenta in a Young Primipara managed Conservatively. World J Anemia 2018; 2 (1):36-38.

DOI: 10.5005/jp-journals-10065-0027

License: CC BY-ND 3.0

Published Online: 01-03-2018

Copyright Statement:  Copyright © 2018 Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Placenta accreta syndrome is any placental implantation with abnormally firm adherence to myometrium because of partial or complete absence of decidua basalis and imperfect development of fibrinoid and Nitabuch\'s layers. We report a case of densely adherent placenta in a 21-year-old primipara without any other risk factor. She was referred from CHC Barnala following preterm vaginal delivery at 36 weeks 3 days with two failed attempts of manual removal of the placenta (MROP) where only a few bits of placenta could be removed. The ultrasonography (USG) confirmed retained adherent placenta with increased vascularity on color Doppler. Patient was managed conservatively with 50 mg inj methotrexate intramuscularly, single dose given followed by placental expulsion 10 days later. Repeat USG confirmed normal empty uterus. Patient was discharged in satisfactory condition.


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