Perioperative Management of Unexpected Placenta Percreta in a Twin Gestation

Related Experiment Video

Updated: May 1, 2026

Guide Wire Assisted Catheterization and Colored Dye Injection for Vascular Mapping of Monochorionic Twin Placentas
09:04

Guide Wire Assisted Catheterization and Colored Dye Injection for Vascular Mapping of Monochorionic Twin Placentas

Published on: September 5, 2011

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Ana Rita Alves1, Beatriz Ferreira1, Diana Pissarra2

  • 1Obstetrics and Gynaecology, Centro Hospitalar de Leiria, Unidade Local de Saúde da Região de Leiria, Leiria, PRT.

Cureus
|January 8, 2025
PubMed

Placenta accreta represents a spectrum of adherent placental anomalies and is an atypical invasion of the placenta. The major predisposing factor is a prior cesarean delivery. Placenta previa is considered an additional risk factor. Twin gestation is increasingly recognized as an independent risk factor for placenta accreta spectrum (PAS) disorders. Currently, immediate hysterectomy is the gold standard treatment. The management of placenta percreta is indeed highly challenging, with significant risks for both the mother and fetus due to the aggressive nature of the condition. We present a case of intraoperative diagnosis of placenta percreta in a 37-year-old woman with twin pregnancy.

Keywords:
cesarean sectionhysterectomyplacentaplacenta accretapostpartum hemorrhage

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