The rise in the number of Cesarean sections (CS) worldwide has increased the incidence of the placenta accreta spectrum disorders in the past years. About 5% of patients undergoing a CS develop placenta percreta. A 30-year-old woman, G2P1 with previous uncomplicated CS delivery had an elective CS delivery at 37w6d. The delivery was complicated by a substantial hemorrhage. On emergency laparotomy a placenta percreta was seen in the broad ligament, which could not be removed surgically. Embolization was performed with Gelfoam particles until stasis in the right uterine artery with placement of a coil. Patient discharge was 12 days after intervention. Emergency embolization is an effective treatment in bleeding complications due to placenta percreta at partus.
Keywords: Bleeding; Blood loss; CS, Cesarean sections; Embolization; FIGO, Fédération Internationale de Gynécologie et d'Obstétrique; HCG, Human chorionic gonadotropin; Placenta accreta; Placenta percreta; UAE, uterine artery embolization; US, ultrasound; Uterus.
© 2022 The Authors. Published by Elsevier Inc. on behalf of University of Washington.