Placenta Percreta Invading Broad Ligament and Parametrium in a Woman with Two Previous Cesarean Sections : A Case Report
Joint Authors
Chaichian, Shahla
Najmi, Zahra
Vahdat, Mansoureh
Sariri, Elaheh
Kadivar, Maryam
Mehdizadeh, Abolfazl
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-10-14
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Introduction.
The incidence of placenta accreta has dramatically increased due to increasing caesarean section rate all over the world.
Placenta percreta is the most severe form of placenta accretes.
It frequently results in maternal morbidity and mortality mainly caused by massive obstetric hemorrhage or emergency hysterectomy.
Percreta invading into the broad ligament has rarely been previously reported.
Case presenting.
We presented a case of placenta percreta invading left broad ligament and parametrium in a woman with two previous cesarean sections, which led to massive intraoperative hemorrhage during hysterectomy and transient ischemic encephalopathy.
Conclusion.
In cases of parametrial involvement, it would be more difficult to decide whether to remove placenta or leave it in site.
In surgical removal neither local excision of placental bed and uterine repair nor traditional hysterectomy is adequate if parametrium invaded by placenta.
We suggest delayed elective hysterectomy in such cases.
So, pregnancy-induced pelvic congestion would be decreased, we can gather an expert team of gynecologists, urologists, and vascular surgeons, we could get plenty of blood products, and we may have the chance to administer methotrexate.
American Psychological Association (APA)
Vahdat, Mansoureh& Mehdizadeh, Abolfazl& Sariri, Elaheh& Chaichian, Shahla& Najmi, Zahra& Kadivar, Maryam. 2012. Placenta Percreta Invading Broad Ligament and Parametrium in a Woman with Two Previous Cesarean Sections : A Case Report. Case Reports in Obstetrics and Gynecology،Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-457475
Modern Language Association (MLA)
Vahdat, Mansoureh…[et al.]. Placenta Percreta Invading Broad Ligament and Parametrium in a Woman with Two Previous Cesarean Sections : A Case Report. Case Reports in Obstetrics and Gynecology No. 2012 (2012), pp.1-4.
https://search.emarefa.net/detail/BIM-457475
American Medical Association (AMA)
Vahdat, Mansoureh& Mehdizadeh, Abolfazl& Sariri, Elaheh& Chaichian, Shahla& Najmi, Zahra& Kadivar, Maryam. Placenta Percreta Invading Broad Ligament and Parametrium in a Woman with Two Previous Cesarean Sections : A Case Report. Case Reports in Obstetrics and Gynecology. 2012. Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-457475
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-457475