Abstract

Placenta accreta is often encountered when attempting to manually remove the placenta after a vaginal delivery. Removing a placenta accreta by uterine curettage can result in uterus perforation, internal bleeding, retroperitoneal hematoma and intrauterine adhesions (Asherman syndrome). In this report, we discuss the use of transcatheter arterial embolization [TAE] to treat a case of placenta accreta complicated by retroperitoneal hematoma and severe uterine bleeding that may have been caused by uterine curettage. TAE is able to easily identify sources of bleeding, allows preservation of the uterus and the patient’s reproductive capability and helps to prevent surgery related complications. Complete resorption of the retroperitoneal hematoma and placenta accreta was found to have occurred two months after TAE. The patient’s menstrual cycle resumed three months after TAE without any sequelae.

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