Morbid adhesion of the placenta after hysteroscopic lysis of intrauterine adhesions.

OBJECTIVE

To report a case of morbidly adherent placenta in a patient who had previously undergone hysteroscopic lysis of intrauterine adhesions.

DESIGN

Case report.

SETTING

Large district general hospital within the National Health Service in the U.K.

PATIENT(S): A healthy 32-year-old woman who had conceived following hysteroscopic lysis of intrauterine adhesions.

INTERVENTION(S): Watchful expectancy following the diagnosis of morbidly adherent placenta immediately after delivery.

MAIN OUTCOME MEASURE(S): Retention of the uterus and therefore reproductive function.

RESULT(S): Successful resolution of the retained placenta following watchful expectancy.

CONCLUSION(S): Watchful expectancy is a valid option in the management of a morbidly adherent placenta.