Supra-massive transfusion and interdisciplinary approach to cesarean hysterectomy due to complex placenta percreta: Case report

Abstract

Placenta accreta spectrum encompasses a group of conditions of abnormal placental infiltration of the uterine wall and surrounding tissues. It is associated with significant blood loss, perioperative morbidity, and risk of death. A coordinated interdisciplinary approach to these complex cases and early resuscitation with blood products are critical factors in the successful management of patients affected by this disease. We describe the successful management of a patient with placenta percreta who required supra-massive transfusion of blood products and interventions by different specialized teams in a tertiary care center.

Placenta Accreta Spectrum: The Role of Interventional Radiology in Multidisciplinary Management

“…5 Even at large tertiary-care centers, catastrophic hemorrhage can still occur following cesarean hysterectomy. 15 A cesarian hysterectomy also, of course, results in the end of fertility for the patient. In conservative treatment aimed at preserving the uterus and fertility, a cesarean delivery is performed with the placenta left in situ, sometimes followed by medical management with methotrexate to hasten placental involution.…”