Document Detail

A case of placenta percreta with massive hemorrhage during cesarean section.
MedLine Citation:
PMID:  24705768     Owner:  NLM     Status:  In-Data-Review    
We describe a case of a 39-year-old woman diagnosed with placenta percreta complicated by massive hemorrhage during a cesarean section. At 27 weeks of gestation, she underwent an emergency cesarean section under general anesthesia for vaginal bleeding and an intrauterine infection. Soon after delivery, a massive hemorrhage was encountered while attempting to separate the placenta percreta from the bladder wall. Although total abdominal hysterectomy and partial cystectomy were performed, massive hemorrhaging persisted. Bleeding was finally controlled following bilateral internal iliac artery embolization. We used a cell salvage device and a rapid infuser for hemodynamics stabilization. Total blood loss was 47,000 mL, and anesthesia time was 12 h and 47 min. The patient was discharged on the 32(nd) postoperative day without major complications. Placenta accreta can be associated with life-threatening hemorrhage and it is vital to plan accordingly preoperatively. J. Med. Invest. 61: 208-212, February, 2014.
Katsuyoshi Kume; Yasuo M Tsutsumi; Tomohiro Soga; Yoko Sakai; Noriko Kambe; Ryosuke Kawanishi; Eisuke Hamaguchi; Tomiya Kawahara; Asuka Kasai; Yoshimi Nakaji; Yousuke T Horikawa; Souichiro Nakayama; Takashi Kaji; Minoru Irahara; Katsuya Tanaka
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The journal of medical investigation : JMI     Volume:  61     ISSN:  1349-6867     ISO Abbreviation:  J. Med. Invest.     Publication Date:  2014  
Date Detail:
Created Date:  2014-04-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9716841     Medline TA:  J Med Invest     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  208-12     Citation Subset:  IM    
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