Disseminated intravascular coagulation syndrome two months after conservative management of placenta accreta. About two patients

Bourrellier, L.; Bensalem, R.; Bersot, Y.; Bertrand, A.; Duminil, L.; Malinovsky, Jean‐Marc; Bonneau, S.; Graesslin, Olivier; Raimond, Émilie

doi:10.1016/j.ejogrb.2017.06.031

Cited by 4 publications

(2 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Two cases are reported by Bourrellier et al, both patients presented with hematoma, one also with hemarthrosis of the knee, on day 58 and 60 [13]. In both patients, DIC was diagnosed.…”

Section: Review Of the Literaturementioning

confidence: 88%

“…Therefore, most of the cases switch from a conservative into surgical management postpartum. Only in two cases, conservative management could be continued [10,11], whereas in six cases, secondary hysterectomy due two massive bleeding was performed [6,[12][13][14][15]. In three cases, no further specified secondary surgery was performed or listed [16] ( Table 1).…”

Section: Review Of the Literaturementioning

confidence: 99%

See 1 more Smart Citation

Conservative management of abnormally invasive placenta complicated by local hyperfibrinolysis and beginning disseminated intravascular coagulation

Biele

Kaufner

Schwickert

et al. 2020

Arch Gynecol Obstet

View full text Add to dashboard Cite

Introduction Abnormally invasive placenta (AIP) is often associated with high maternal morbidity. In surgical treatment, caesarean hysterectomy or partial uterine resection may lead to high perioperative maternal blood loss. A conservative treatment by leaving the placenta in utero after caesarean delivery of the baby is an option to preserve fertility and to reduce peripartum hysterectomy-related morbidity. Nevertheless, due to increased placental coagulation activity as well as consumption of clotting factors, a disseminated intravascular coagulation (DIC)-like state with secondary late postpartum bleeding can occur. Purpose Systematic review after the presentation of a case of conservative management of placenta percreta with secondary partial uterine wall resection due to vaginal bleeding, complicated by local hyperfibrinolysis and consecutive systemic decrease in fibrinogen levels. Methods Systematic PubMed database search was done until August 2019 without any restriction of publication date or journal Results Among 58 publications, a total of 11 reported on DIC-like symptoms in the conservative management of AIP, in the median on day 59 postpartum. In most cases, emergency hysterectomy was performed, which led to an almost immediate normalization of coagulation status but was accompanied with high maternal blood loss. In two cases, fertility-preserving conservative management could be continued after successful medical therapy. Conclusion Based on these results, we suggest routinely monitoring of the coagulation parameters next to signs of infection in the postpartum check-ups during conservative management of AIP. Postpartum tranexamic acid oral dosage should be discussed when fibrinogen levels are decreasing and D-Dimers are increasing.

show abstract

“…Two cases are reported by Bourrellier et al, both patients presented with hematoma, one also with hemarthrosis of the knee, on day 58 and 60 [13]. In both patients, DIC was diagnosed.…”

Section: Review Of the Literaturementioning

confidence: 88%

Section: Review Of the Literaturementioning

confidence: 99%

Conservative management of abnormally invasive placenta complicated by local hyperfibrinolysis and beginning disseminated intravascular coagulation

Biele

Kaufner

Schwickert

et al. 2020

Arch Gynecol Obstet

View full text Add to dashboard Cite

show abstract

The effectiveness of prophylactic internal iliac artery balloon occlusion in the treatment of patients with pernicious placenta previa coexisting with placenta accreta

Zhou

Sun

Wang

et al. 2019

The Journal of Maternal-Fetal & Neonatal Medicine

View full text Add to dashboard Cite

Placenta Accreta Spectrum Part I: anesthesia considerations based on an extended review of the literature

Enste

Cricchio

Dewandre

et al. 2022

Journal of Perinatal Medicine

View full text Add to dashboard Cite

“Placenta accreta spectrum” (PAS) describes abnormal placental adherence to the uterine wall without spontaneous separation at delivery. Though relatively rare, PAS presents a particular challenge to anesthesiologists, as it is associated with massive peripartum hemorrhage and high maternal morbidity and mortality. Standardized evidence-based PAS management strategies are currently evolving and emphasize: “PAS centers of excellence”, multidisciplinary teams, novel diagnostics/pharmaceuticals (especially regarding hemostasis, hemostatic agents, point-of-care diagnostics), and novel operative/interventional approaches (expectant management, balloon occlusion, embolization). Though available data are heterogeneous, these developments affect anesthetic management and must be considered in planed anesthetic approaches. This two-part review provides a critical overview of the current evidence and offers structured evidence-based recommendations to help anesthesiologists improve outcomes for women with PAS. This first part discusses PAS management in centers of excellence, multidisciplinary care team, anesthetic approach and monitoring, surgical approaches, patient safety checklists, temperature management, interventional radiology, postoperative care and pain therapy. The diagnosis and treatment of hemostatic disturbances and preoperative prepartum anemia, blood loss, transfusion management and postpartum venous thromboembolism will be addressed in the second part of this series.

show abstract

Disseminated intravascular coagulation syndrome two months after conservative management of placenta accreta. About two patients

Cited by 4 publications

References 5 publications

Conservative management of abnormally invasive placenta complicated by local hyperfibrinolysis and beginning disseminated intravascular coagulation

Conservative management of abnormally invasive placenta complicated by local hyperfibrinolysis and beginning disseminated intravascular coagulation

The effectiveness of prophylactic internal iliac artery balloon occlusion in the treatment of patients with pernicious placenta previa coexisting with placenta accreta

Placenta Accreta Spectrum Part I: anesthesia considerations based on an extended review of the literature

Contact Info

Product

Resources

About