Anesthetic management of complicated placenta percreta

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 mortali...

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Bibliographic Details
Published in:Ain-Shams journal of anesthesiology 2022-02, Vol.14 (1), p.1-3, Article 14
Main Authors: Kumar, Rajnish, Sahay, Nishant, Naaz, Shagufta, Kumar, Rajesh
Format: Article
Language:English
Subjects:
Abdomen
Anesthesiology
Bladder
Blood pressure
Blood products
Case Report
Cesarean section
Creatinine
Critical Care Medicine
Embolization
Fentanyl
Fetal demise
General anesthesia
Hemoglobin
Hemorrhage
Hysterectomy
Intensive
Magnetic resonance imaging
Medicine
Medicine & Public Health
Mortality
Obstetrics
Patients
Placenta
Placenta percreta
Polyvinyl alcohol
Pregnancy complications
Surgery
Uterus
Vagina
Veins & arteries
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Summary: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.
ISSN:2090-925X
1687-7934
2090-925X
DOI:10.1186/s42077-021-00202-1