High-intensity focused ultrasound combined with hysteroscopic resection to treat retained placenta accreta
Obstetrics & Gynecology Science
;
: 421-425, 2016.
Artigo
em Inglês
| WPRIM
| ID: wpr-129958
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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Hemorragia Uterina
/
Vilosidades Coriônicas
/
Ultrassonografia
/
Placenta Retida
/
Ablação por Ultrassom Focalizado de Alta Intensidade
/
Fertilidade
/
Métodos
/
Mioma
Tipo de estudo:
Estudo diagnóstico
Limite:
Humanos
Idioma:
Inglês
Revista:
Obstetrics & Gynecology Science
Ano de publicação:
2016
Tipo de documento:
Artigo
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