Open AccessAnesthetic management of complicated placenta percreta
Author(s) -
Rajesh Kumar,
Nishant Sahay,
Shagufta Naaz,
Rajesh Kumar
Publication year - 2022
Publication title -
ain shams journal of anesthesiology
Language(s) - English
Resource type - Journals
eISSN - 2090-925X
pISSN - 1687-7934
DOI - 10.1186/s42077-021-00202-1
Subject(s) - placenta percreta , medicine , placenta accreta , hysterectomy , obstetrics , placenta , uterine artery embolization , perioperative , pregnancy , surgery , fetus , genetics , biology
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.