Menu
Back to Journals » International Journal of Women's Health » Volume 5
Pregnancy complicated by morbidly adherent placenta in a patient with bilateral ovarian agenesis: a case report
Authors Wong HS
Received 27 August 2012
Accepted for publication 25 September 2012
Published 5 February 2013 Volume 2013:5 Pages 53—55
DOI https://doi.org/10.2147/IJWH.S37380
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 3
Hong Soo Wong
Australian Women's Ultrasound Centre, Brisbane, Australia
Abstract: The author presents a case of in vitro fertilization pregnancy complicated by morbidly adherent placenta in a patient with congenital bilateral ovarian agenesis. A 31-year-old woman with congenital bilateral ovarian agenesis who had undergone two previous dilatation and curettage procedures conceived following in vitro fertilization with a donor egg. Spontaneous labor occurred at 38 weeks and 5 days' gestation. The labor was augmented in the active phase and resulted in instrumental vaginal delivery. The third stage was complicated by hemorrhage and retained placenta. Morbidly adherent placenta was diagnosed on attempt at manual removal of the placenta, and the adherent part of the placenta was left in situ. This was removed uneventfully at 5 weeks following childbirth when there was no blood flow observed between the placenta and the myometrium on Doppler ultrasound examination. In conclusion, successful parturition is possible in patients with congenital bilateral ovarian agenesis. When morbidly adherent placenta is managed conservatively, the placenta may be safely removed if there is no vascularity between the placenta and the myometrium.
Keywords: IVF, placenta accreta, parturition, myometrium
© 2013 The Author(s). This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License.
By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.