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Placenta Percreta Complications

Danyon J Anderson1, Hefei Liu1, Devesh Kumar1

  • 1Medicine, School of Medicine, Medical College of Wisconsin, Wauwatosa, USA.

Cureus
|November 22, 2021
PubMed

Placenta percreta is the most severe form of placenta accreta and is characterized by placental invasion through the entirety of the myometrium and possibly into extrauterine tissues. It is associated with prior cesarean deliveries and placenta previa. Herein, we present the case of a patient who developed placenta percreta and experienced massive blood loss of 27 liters. She developed many complications over the next 11 months, including deep vein thrombosis, pulmonary embolism, preeclampsia after pregnancy, hematoma, blood clots in the bladder, lactation failure, ileus, vesicovaginal fistula, excessive scar tissue requiring surgery, loss of an ovary, and recurrent bladder perforation. We analyze the mechanisms of these complications and the most common complications associated with placenta percreta.

Keywords:
disseminated intravascular coagulation (dic)placenta accreta syndromeplacenta percretasurgical management of obstetrical hemorrhageurinary bladder perforation

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