1/4. Antepartum diagnosis of placenta previa percreta by magnetic resonance imaging.BACKGROUND: placenta previa percreta is a rare but highly morbid condition usually diagnosed intraoperatively. Placental manipulation results in severe bleeding. magnetic resonance imaging (MRI) might allow antepartum diagnosis of this condition. CASE: A multiparous woman with five previous abdominal deliveries had complete placenta previa diagnosed at 16 weeks' gestation. Bleeding ensured at 29 weeks and she was managed with bed rest. Before planned abdominal delivery, MRI was performed and placenta percreta was diagnosed, which allowed her physician to avoid placental manipulation. hysterectomy was accomplished with an estimated blood loss of only 2000 mL. CONCLUSION: Antepartum diagnosis of placenta previa percreta by MRI altered the usual diagnostic and surgical approach, diminishing blood loss and morbidity.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/4. Tourniquet technique prevents profuse blood loss in placenta accreta cesarean section.AIM: Profuse bleeding in placenta accreta is life-threatening even under well-prepared cesarean sections. methods: We used a tourniquet technique to temporally shut off blood flow through the uterine and ovarian vessels at the level of the uterine cervix. The tourniquet consisted of manual compression followed by a rubber tube. RESULTS: Total blood loss in cesarean section and hysterectomy in the two cases in which we applied this technique was significantly reduced compared with that in the two cases without it. CONCLUSION: This technique not only prevented massive bleeding from the accreted placentation, but also allowed physicians time to consider the necessity of subsequent hysterectomy.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
3/4. Placenta percreta invading the urinary bladder.The case of a woman with a placenta percreta invading the urinary bladder treated by hysterectomy and partial bladder resection is presented. It is emphasized that if physicians in an emergency clinic are aware of this rare condition, preoperative diagnosis can be made and surgical intervention may be accomplished under ideal conditions.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
4/4. An unusual cause of abdominal pain and shock in pregnancy: case report and review of the literature.A near fatal case of spontaneous uterine rupture resulting from placenta percreta is presented. placenta accreta refers to all conditions in which placental villi attach to, invade, or penetrate the myometrium. Placenta percreta is the most extreme form of morbid placental attachment and is said to exist when the uterine wall is completely breached by invading placental villi. Although uncommon, placenta percreta is an important entity of which the emergency physician should be aware because of its propensity to cause uterine rupture and catastrophic bleeding. This article reviews the pathophysiology, presentation, diagnosis, and emergency department management of placenta accreta, increta, and percreta.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |