February 19th, 2020

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Severe Postpartum Preeclampsia Presenting After Uterine Artery Embolization for Placenta Percreta: A Case Report
Authors:  Conisha Holloman, M.D., Stephen J. Carlan, M.D., and Veronica Schimp, D.O.
BACKGROUND: Placenta percreta is defined as a morbidly adherent placenta in which chorionic villi penetrate through the myometrium. Treatment may include delayed hysterectomy. Uterine artery embolization (UAE) has become a major element of therapy. Preeclampsia is typically cured by childbirth but may occur de novo in the postpartum period.

CASE: We present a case of placenta percreta that was treated with cesarean delivery, 2 UAEs, and conservative expectant management. The patient failed to return for care until 8 weeks postpartum, when she presented with severe preeclampsia.

CONCLUSION: Retained placenta combined with UAE may be a risk factor for de novo postpartum preeclampsia.
Keywords:  hypertension; placenta accrete; placenta percreta; postpartum; preeclampsia; severe preeclampsia; uterine artery embolization
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