{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T09:59:35Z","timestamp":1767866375439,"version":"3.49.0"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2011,8,25]],"date-time":"2011-08-25T00:00:00Z","timestamp":1314230400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"published-print":{"date-parts":[[2011,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Introduction<\/jats:title>\n            <jats:p>Placenta percreta is an obstetric emergency often associated with massive hemorrhage and emergency hysterectomy.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Case presentation<\/jats:title>\n            <jats:p>We present the case of a 30-year-old African woman, gravida 7, para 5, with placenta percreta managed by an alternative approach: the placenta was left <jats:italic>in situ<\/jats:italic>, methotrexate was administered, and a delayed hysterectomy was successfully performed.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Further studies are needed to develop the most appropriate management option for the most severe cases of abnormal placentation. Delayed hysterectomy may be a reasonable strategy in the most severe cases.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/1752-1947-5-418","type":"journal-article","created":{"date-parts":[[2011,8,25]],"date-time":"2011-08-25T18:26:31Z","timestamp":1314296791000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Placenta previa percreta left in situ - management by delayed hysterectomy: a case report"],"prefix":"10.1186","volume":"5","author":[{"given":"Minna","family":"Tikkanen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vedran","family":"Stefanovic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorma","family":"Paavonen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2011,8,25]]},"reference":[{"key":"1782_CR1","doi-asserted-by":"publisher","first-page":"430","DOI":"10.1016\/j.ajog.2010.09.013","volume":"203","author":"MA Belfort","year":"2010","unstructured":"Belfort MA: SMFM Publication Committee: placenta accreta. 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