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.