Document Detail

Prophylactic hypogastric artery ballooning in a patient with complete placenta previa and increta.
MedLine Citation:
PMID:  20358016     Owner:  NLM     Status:  MEDLINE    
Abnormal attachment of the placenta (Placenta accreta, increta, and percreta) is an uncommon but potentially lethal cause of maternal mortality from massive postpartum hemorrhage. A 33-yr-old woman, who had been diagnosed with a placenta previa, was referred at 30 weeks gestation. On ultrasound, a complete type of placenta previa and multiple intraplacental lacunae, suggestive of placenta accreta, were noted. For further evaluation of the placenta, pelvis MRI was performed and revealed findings suspicious of a placenta increta. An elective cesarean delivery and subsequent hysterectomy were planned for the patient at 38 weeks gestation. On the day of delivery, endovascular catheters for balloon occlusion were placed within the hypogastric arteries, prior to the cesarean section. In the operating room, immediately after the delivery of the baby, bilateral hypogastric arteries were occluded by inflation of the balloons in the catheters previously placed within. With the placenta retained within the uterus, a total hysterectomy was performed in the usual fashion. The occluding balloons were deflated after closure of the vaginal cuff with hemostasis. The patient had stable vital signs and normal laboratory findings during the recovery period; she was discharged six days after delivery without complications. The final pathology confirmed a placenta increta.
Kyong Wook Yi; Min-Jeong Oh; Tae-Seok Seo; Kyeong A So; Yu Chin Paek; Hai-Joong Kim
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-03-19
Journal Detail:
Title:  Journal of Korean medical science     Volume:  25     ISSN:  1598-6357     ISO Abbreviation:  J. Korean Med. Sci.     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-04-01     Completed Date:  2010-06-28     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  8703518     Medline TA:  J Korean Med Sci     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  651-5     Citation Subset:  IM    
Department of Obstetrics and Gynecology, College of Medicine, Korea University, Seoul, Korea.
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MeSH Terms
Arteries / surgery*
Cesarean Section
Gestational Age
Hysterectomy / methods*
Placenta / blood supply*,  ultrasonography
Placenta Accreta / surgery*,  ultrasonography
Placenta Previa / surgery*,  ultrasonography
Postpartum Hemorrhage / prevention & control*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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