Massive obstetric haemorrhage in a patient with placenta percreta

We present a case of a 38 year-old patient with prenatal diagnosis of placenta praevia. When the elective caesarean began it was found a placenta accreta. In spite of an emergency hysterectomy, embolisation using interventional radiography was needed after a massive obstetric haemorrhage. The post-o...

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Bibliographic Details
Published in:	Revista española de anestesiología y reanimación Vol. 59; no. 8; p. 452
Main Authors:	Rodríguez-Gómez, J, Mompó, B, Gredilla, E, López, M A, Gilsanz, F
Format:	Journal Article
Language:	Spanish
Published:	Spain 01-10-2012
Subjects:	Adult Anesthesia, Obstetrical - methods Blood Component Transfusion Cesarean Section Combined Modality Therapy Elective Surgical Procedures Embolization, Therapeutic Embryo Transfer Emergencies Female Fertilization in Vitro Fibrinogen - therapeutic use Hemostasis, Surgical Homocystinuria - complications Humans Hysterectomy Methylenetetrahydrofolate Reductase (NADPH2) - deficiency Muscle Spasticity - complications Norepinephrine - therapeutic use Placenta Accreta - surgery Postpartum Hemorrhage - drug therapy Postpartum Hemorrhage - etiology Postpartum Hemorrhage - surgery Postpartum Hemorrhage - therapy Pregnancy Pregnancy Complications, Hematologic - genetics Psychotic Disorders - complications
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Summary:	We present a case of a 38 year-old patient with prenatal diagnosis of placenta praevia. When the elective caesarean began it was found a placenta accreta. In spite of an emergency hysterectomy, embolisation using interventional radiography was needed after a massive obstetric haemorrhage. The post-operative period progressed without incidents.
ISSN:	0034-9356
DOI:	10.1016/j.redar.2012.03.011