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329748

Anesthetic management of complicated placenta percreta

Article

Last updated: 29 Dec 2024

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Abstract

Background
Placenta percreta is a severe form of placenta accreta in which the placenta penetrates the entire uterine wall and attaches to another organ such as the bladder and bowel. It gives rise to a major obstetric hemorrhage, peripartum hysterectomy, and maternal and fetal morbidity and mortality.
Case presentation
I present a 34-year-old female of 24 week gestation a case of placenta percreta with a history of bleeding per vagina for the last 1 month for that she received 11 units of blood transfusion. Placenta percreta with fetal demise was diagnosed in magnetic resonance imaging on admission. Uterine artery embolization was done to reduce perioperative bleeding. Hysterectomy was done successfully with the multidisciplinary team approach under general anesthesia.
Conclusions
So, proper preoperative planning and good communication with the multidisciplinary approach will make a better outcome in these types of cases.

DOI

10.1186/s42077-021-00202-1

Keywords

Placenta percreta, hemorrhage, fetal demise

Authors

First Name

Rajnish

Last Name

Kumar

MiddleName

-

Affiliation

-

Email

drraj76pmch@gmail.com

City

-

Orcid

0000-0002-3085-0829

First Name

Nishant

Last Name

Sahay

MiddleName

-

Affiliation

-

Email

nishantsahay@gmail.com

City

-

Orcid

https://orcid.org/0000-0001-8297-5538

First Name

Shagufta

Last Name

Naaz

MiddleName

-

Affiliation

-

Email

drshaguftanaaz@gmail.com

City

-

Orcid

0000-0001-7845-5708

First Name

Rajesh

Last Name

Kumar

MiddleName

-

Affiliation

-

Email

rajesh2k3dmc@gmail.com

City

-

Orcid

0000000211998318

Volume

14

Article Issue

1

Related Issue

44741

Issue Date

2022-01-01

Receive Date

2021-12-13

Publish Date

2022-02-04

Print ISSN

1687-7934

Online ISSN

2090-925X

Link

https://asja.journals.ekb.eg/article_329748.html

Detail API

https://asja.journals.ekb.eg/service?article_code=329748

Order

329,748

Publication Type

Journal

Publication Title

Ain-Shams Journal of Anesthesiology

Publication Link

https://asja.journals.ekb.eg/

MainTitle

Anesthetic management of complicated placenta percreta

Details

Type

Article

Created At

20 Dec 2024