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Emergency embolization of a massive life-threatening placenta percreta bleeding following delivery by Cesarean

Ilia A Panfilov1, Alexander Venmans1, Hans G Kortman1

  • 1Department of Radiology, Section Interventional Radiology, Elisabeth Tweesteden Ziekenhuis, Hilvarenbeekse Weg 60, Tilburg, 5022 GC, The Netherlands.

Radiology Case Reports
|October 4, 2022
PubMed

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:
BleedingBlood lossCS, Cesarean sectionsEmbolizationFIGO, Fédération Internationale de Gynécologie et d'ObstétriqueHCG, Human chorionic gonadotropinPlacenta accretaPlacenta percretaUAE, uterine artery embolizationUS, ultrasoundUterus

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