子宮温存のため治療に苦渋した初期中絶後の遺残嵌入胎盤が疑われた1症例

概要

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A 21-year-old woman was admitted to our hospital with heavy vaginal bleeding following a first trimester surgical termination of pregnancy. A magnetic resonance imaging (MRI) scan suggested placenta increta. Previous studies have reported superior results with hysterectomy, compared to uterine preservation treatment modalities. However, preserving uterine function is important for the preservation of reproductive potential. In this case, the patient received methotrexate therapy; however, it was unsuccessful. She underwent a uterine artery embolization and her symptoms rapidly disappeared. The placenta increta was small in area; thus, it was resectable with the hysteroscope.
日本産科婦人科内視鏡学会の論文