OBJECTIVE:To present a case of selective arterial embolization for the treatment of placenta increta in a patient with subsequent pregnancy.
DESIGN:Case report and literature review.
SETTING:Community-based hospital.
PATIENT(S):A 31-year-old G2P1 woman with placenta increta presenting with delayed postpartum hemorrhage.
INTERVENTION(S):Selective uterine artery embolization.
MAIN OUTCOME MEASURE(S):Cessation of uterine hemorrhage, future pregnancy.
RESULT(S):The patient's uterine bleeding immediately resolved. She subsequently delivered a healthy neonate at term without recurrence of abnormal placentation.
CONCLUSION(S):Arterial embolization is effective for treating placenta increta in women who wish to preserve fertility. A review of the literature demonstrates a 76.9% success rate and an 11% complication rate.