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Archives of Gynecology and Obstetrics

, Volume 276, Issue 4, pp 371–373 | Cite as

Magnetic resonance imagining (MRI) and serial β-human chorionic gonadotrophin (β-hCG) follow up for placenta percreta

  • Gehan El-Bialy
  • Ahmed Kassab
  • Magi Armstrong
Case Report

Abstract

Background

Placenta percreta is a rare obstetric condition associated with life-threatening hemorrhage. MR imaging has a role in prenatal diagnosis of these cases. However, its role in the postnatal diagnosis and in the follow up yet to be established.

Case

A 33-year-old patient has adherent placenta following spontaneous delivery at 37 weeks gestation. MR imaging diagnosed placenta percreta. Intramuscular methotrexate treatment was initiated with follow up with serial β-human chorionic gonadotrophin (β-hCG). In spite of dropping of the level of β-hCG, the trophoblastic tissue was still present 6 weeks postnatally where the patient complained of vaginal bleeding where she opted to abdominal hysterectomy.

Conclusion

Patients who are suitable for non-surgical therapy, T2-weighted MR imaging may, in conjunction with serial β-hCG assays, provide an alternative treatment modality for cases of placenta percreta.

Keywords

MRI Placenta percreta β-hCG 

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Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  1. 1.Department of Obstetrics and GynaecologyGlan Clwyd HospitalDenbighshireUK
  2. 2.Department of Obstetrics and Gynaecology Mousgrove Park HospitalSomersetUK
  3. 3.SomersetUK

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