egnancy complicated by morbidly adherent placenta in a patient with bilateral ovarian agenesis: a case report Case report (500) Total Article Views Authors: Wong HS Published Date February 2013 Volume 2013:5 Pages 53 - 55 DOI: http://dx.doi.org/10.2147/IJWH.S37380 Received: 27 August 2012 Accepted: 25 September 2012 Published: 05 February 2013 Hong Soo Wong Australian Women's Ultrasound Centre, Brisbane, Australia Abstract: The author presents a case of in vitro fertilization pregnancy complicated by morbidly adherent placenta in a patient with congenital bilateral ovarian agenesis. A 31-year-old woman with congenital bilateral ovarian agenesis who had undergone two previous dilatation and curettage procedures conceived following in vitro fertilization with a donor egg. Spontaneous labor occurred at 38 weeks and 5 days' gestation. The labor was augmented in the active phase and resulted in instrumental vaginal delivery. The third stage was complicated by hemorrhage and retained placenta. Morbidly adherent placenta was diagnosed on attempt at manual removal of the placenta, and the adherent part of the placenta was left in situ. This was removed uneventfully at 5 weeks following childbirth when there was no blood flow observed between the placenta and the myometrium on Doppler ultrasound examination. In conclusion, successful parturition is possible in patients with congenital bilateral ovarian agenesis. When morbidly adherent placenta is managed conservatively, the placenta may be safely removed if there is no vascularity between the placenta and the myometrium.