Korean J Obstet Gynecol.  2012 Jun;55(6):403-407. 10.5468/KJOG.2012.55.6.403.

Conservative management of placenta increta treated with selective uterine artery embolization: Review of two cases

  • 1Department of Obstetrics and Gynecology, Chonbuk National University Medical School, Jeonju, Korea. binnayokr@jbnu.ac.kr


Placenta increta is a condition characterized by abnormal adherence of the placenta owing to entire or partial absence of the decidua basalis. It is generally recognized during difficult placental removal at the time of delivery. It is a life-threatening complication of pregnancy due to massive hemorrhage, uterine perforation, and infection and thus often a hysterectomy is required. We review two cases of placenta increta conservative managed successfully by selective uterine artery embolization.


Placenta increta; Conservative; Selective uterine artery embolization

MeSH Terms

Placenta Accreta
Uterine Artery
Uterine Artery Embolization
Uterine Hemorrhage


  • Fig. 1 Uterine abnormal bulging during Cesarean section (arrows).

  • Fig. 2 Ultrasound examination obtained 2 days postoperation shows a thin uterine wall (arrowheads) at fundus of uterus and the loss of the echolucent space behind the placenta (PL) (arrows).

  • Fig. 3 View of uterus after baby out during Cesarean section: an enlarged uterus with extension out towards the left cornu (arrows).

  • Fig. 4 Ultrasound examination showed the left uterine wall was deeply invaded by the placenta.

  • Fig. 5 Transvaginal sonogram 4 weeks after operation showed a thin linear endometrial cavity and no remnant placental tissue.


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