Hysteroscopic Resection after Uterine Artery Embolization to Treat Placenta Increta following a First Trimester Abortion

Abstract

  A 21-year-old woman was admitted to our hospital with heavy vaginal bleeding following a first trimester surgical termination of pregnancy. A magnetic resonance imaging (MRI) scan suggested placenta increta. Previous studies have reported superior results with hysterectomy, compared to uterine preservation treatment modalities. However, preserving uterine function is important for the preservation of reproductive potential. In this case, the patient received methotrexate therapy; however, it was unsuccessful. She underwent a uterine artery embolization and her symptoms rapidly disappeared. The placenta increta was small in area; thus, it was resectable with the hysteroscope.