Emergency embolization of a massive life-threatening placenta percreta bleeding following delivery by Cesarean section

Radiology Case Reports

article

Ilia A. Panfilov¹  Alexander Venmans¹  Hans G. Kortman¹  Peter F. Boekkooi¹  Cora A. Fiedeldeij¹  Paul N.M. Lohle¹ 

[1] aDepartment of Radiology, Section Interventional Radiology

关键词: Placenta accreta;    Placenta percreta;    Embolization;    Bleeding;    Blood loss;    Uterus;   

DOI  :  10.1016/j.radcr.2022.08.043

学科分类：生物化学工程

来源: University of Washington * Department of Radiology

【 摘 要 】

The rise in the number of Cesarean sections (CS) worldwide has increased the incidence of the placenta accreta spectrum disorders in the past years. About 5% of patients undergoing a CS develop placenta percreta. A 30-year-old woman, G2P1 with previous uncomplicated CS delivery had an elective CS delivery at 37w6d. The delivery was complicated by a substantial hemorrhage. On emergency laparotomy a placenta percreta was seen in the broad ligament , which could not be removed surgically. Embolization was performed with Gelfoam particles until stasis in the right uterine artery with placement of a coil. Patient discharge was 12 days after intervention. Emergency embolization is an effective treatment in bleeding complications due to placenta percreta at partus .

【 授权许可】

CC BY|CC BY-NC-ND