Cargando…
Placenta Accreta: A Case Report on the Role of Interventional Radiology
Placenta accreta spectrum disorder is a pregnancy-related disorder responsible for important post-partum morbimortality, associated with intractable or massive hemorrhage, leading to uterine loss in up to 64% of women. Despite international recommendations advocating planned preterm cesarean hystere...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10673647/ https://www.ncbi.nlm.nih.gov/pubmed/38022115 http://dx.doi.org/10.7759/cureus.47680 |
_version_ | 1785140669685170176 |
---|---|
author | Machado, Mafalda Dionísio, Teresa Rocha, Diogo Campos, Marta Sousa, Pedro |
author_facet | Machado, Mafalda Dionísio, Teresa Rocha, Diogo Campos, Marta Sousa, Pedro |
author_sort | Machado, Mafalda |
collection | PubMed |
description | Placenta accreta spectrum disorder is a pregnancy-related disorder responsible for important post-partum morbimortality, associated with intractable or massive hemorrhage, leading to uterine loss in up to 64% of women. Despite international recommendations advocating planned preterm cesarean hysterectomy for the management of these patients, uterus preservation management is being continuously reported with the implementation of minimally invasive bleeding reduction strategies, such as prophylactic balloon-assisted occlusion. We present the case of a 40-year-old pregnant woman with a previous cesarean, diagnosed with placenta previa and suspected placenta accreta on magnetic resonance after having second-trimester vaginal bleeding. A peri-operative multidisciplinary panel was involved, in collaboration with the interventional radiologist, and the c-section was scheduled for 36 weeks of gestation. The prophylactic balloon-assisted occlusion was successfully performed, minimizing the blood loss and allowing a uterus-preserving approach. |
format | Online Article Text |
id | pubmed-10673647 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-106736472023-10-25 Placenta Accreta: A Case Report on the Role of Interventional Radiology Machado, Mafalda Dionísio, Teresa Rocha, Diogo Campos, Marta Sousa, Pedro Cureus Obstetrics/Gynecology Placenta accreta spectrum disorder is a pregnancy-related disorder responsible for important post-partum morbimortality, associated with intractable or massive hemorrhage, leading to uterine loss in up to 64% of women. Despite international recommendations advocating planned preterm cesarean hysterectomy for the management of these patients, uterus preservation management is being continuously reported with the implementation of minimally invasive bleeding reduction strategies, such as prophylactic balloon-assisted occlusion. We present the case of a 40-year-old pregnant woman with a previous cesarean, diagnosed with placenta previa and suspected placenta accreta on magnetic resonance after having second-trimester vaginal bleeding. A peri-operative multidisciplinary panel was involved, in collaboration with the interventional radiologist, and the c-section was scheduled for 36 weeks of gestation. The prophylactic balloon-assisted occlusion was successfully performed, minimizing the blood loss and allowing a uterus-preserving approach. Cureus 2023-10-25 /pmc/articles/PMC10673647/ /pubmed/38022115 http://dx.doi.org/10.7759/cureus.47680 Text en Copyright © 2023, Machado et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Obstetrics/Gynecology Machado, Mafalda Dionísio, Teresa Rocha, Diogo Campos, Marta Sousa, Pedro Placenta Accreta: A Case Report on the Role of Interventional Radiology |
title | Placenta Accreta: A Case Report on the Role of Interventional Radiology |
title_full | Placenta Accreta: A Case Report on the Role of Interventional Radiology |
title_fullStr | Placenta Accreta: A Case Report on the Role of Interventional Radiology |
title_full_unstemmed | Placenta Accreta: A Case Report on the Role of Interventional Radiology |
title_short | Placenta Accreta: A Case Report on the Role of Interventional Radiology |
title_sort | placenta accreta: a case report on the role of interventional radiology |
topic | Obstetrics/Gynecology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10673647/ https://www.ncbi.nlm.nih.gov/pubmed/38022115 http://dx.doi.org/10.7759/cureus.47680 |
work_keys_str_mv | AT machadomafalda placentaaccretaacasereportontheroleofinterventionalradiology AT dionisioteresa placentaaccretaacasereportontheroleofinterventionalradiology AT rochadiogo placentaaccretaacasereportontheroleofinterventionalradiology AT camposmarta placentaaccretaacasereportontheroleofinterventionalradiology AT sousapedro placentaaccretaacasereportontheroleofinterventionalradiology |