Back to Search
Start Over
High-intensity focused ultrasound combined with hysteroscopic resection to treat retained placenta accreta
- Source :
- Obstetrics & Gynecology Science
- Publication Year :
- 2016
- Publisher :
- Korean Society of Obstetrics and Gynecology, 2016.
-
Abstract
- We present a case of retained placenta accreta treated by high-intensity focused ultrasound (HIFU) ablation followed by hysteroscopic resection. The patient was diagnosed as submucosal myoma based on ultrasonography in local clinic. Pathologic examination of several pieces of tumor mass from the hysteroscopic procedure revealed necrotic chorionic villi with calcification. HIFU was performed using an ultrasound-guided HIFU tumor therapeutic system. The ultrasound machine had been used for real-time monitoring of the HIFU procedure. After HIFU treatment, no additional vaginal bleeding or complications were observed. A hysteroscopic resection was performed to remove ablated placental tissue 7 days later. No abnormal vaginal bleeding or discharge was seen after the procedure. The patient was stable postoperatively. We proposed HIFU and applied additional hysteroscopic resection for a safe and effective method for treating retained placenta accreta to prevent complications from the remaining placental tissue and to improve fertility options.
- Subjects :
- medicine.medical_specialty
medicine.medical_treatment
Case Report
High-intensity focused ultrasound ablation
03 medical and health sciences
0302 clinical medicine
Retained placenta
medicine
Vaginal bleeding
030219 obstetrics & reproductive medicine
business.industry
Ultrasound
Obstetrics and Gynecology
Myoma
medicine.disease
Ablation
Hysteroscopic resection
High-intensity focused ultrasound
Surgery
medicine.anatomical_structure
030220 oncology & carcinogenesis
Chorionic villi
Retained placenta accrete
General Gynecology
medicine.symptom
business
Calcification
Subjects
Details
- ISSN :
- 22878580 and 22878572
- Volume :
- 59
- Database :
- OpenAIRE
- Journal :
- Obstetrics & Gynecology Science
- Accession number :
- edsair.doi.dedup.....1531d059e0f72f0a6fb824e56f1f2ec7