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KMID : 0358420130560030194
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Korean Journal of Obstetrics and Gynecology
2013 Volume.56 No. 3 p.194 ~ p.197
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Conservative multidisciplinary management of placenta percreta following in vitro fertilization
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Shim Jae-Yoon
Hong Seong-Yun
Won Hye-Sung
Lee Pil-Ryang
Kim Ahm
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Abstract
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Placenta percreta is an extremely rare and the most severe form of placental invasion, that is associated with severe maternal morbidity and mortality. We report a case of nulliparous woman who underwent 10 cycles of in vitro fertilization (IVF) without any known risk factors. We conserved her uterus by spontaneous vaginal delivery, leaving the placenta in situ, pelvic arterial embolization, and primary resection of the remaining placental tissues. This case demonstrates that repetitive IVF is a possible risk factor for placental invasion, and that conservation of the uterus can be achieved in such cases using a multidisciplinary approach.
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KEYWORD
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Assisted reproductive technics, Magnetic resonance imaging, Placenta percreta, Uterine artery embolization, Uterine rupture
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