PERSISTENT PLACENTA-INCRETA - A COMPLICATION OF CONSERVATIVE MANAGEMENT OF PRESUMED PLACENTA-ACCRETA

Background: Recent reports have advocated conservative management rath er than hysterectomy for placenta increta and its related conditions, placenta accreta and percreta. We report an unusual case of placenta i ncreta in which initial conservative therapy for a presumed placenta a ccreta failed and hysterectomy was performed 6 months postpartum. Case : A 32-year-old woman, gravida 2, para 2, was referred 5 months after a repeat cesarean delivery and bilateral tubal interruption for evalua tion of an intrauterine mass. A presumed placenta accreta noted at del ivery had been managed conservatively. Hysterectomy was performed, and pathologic evaluation was consistent with a retained placenta increta . Conclusion: persistent placental tissue is a potential complication of conservative management of an abnormally adherent placenta.