Back to Journals » International Journal of Women's Health » Volume 4

Perioperative management of undiagnosed placenta percreta: case report and management strategies

Authors Sivasankar C

Received 17 June 2012

Accepted for publication 26 July 2012

Published 3 September 2012 Volume 2012:4 Pages 451—454


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Chitra Sivasankar

Department of Anesthesiology, Guthrie Clinic, Sayre, PA, USA

Abstract: Placenta percreta is a rare pregnancy disorder in which the placenta penetrates the uterine myometrium and can invade surrounding organs. Because the rate of cesarean sections is increasing in developed countries, the incidence of placenta percreta is also rising. This condition significantly increases the risk of maternal and fetal morbidity and mortality, and is currently the most common indication for peripartum hysterectomy. Multidisciplinary management in a specialized center capable of providing massive transfusions can improve outcomes for the mother and baby. This team should include a surgeon specialized in pelvic surgery, an anesthesiologist experienced in obstetrics, a skilled urologist, a neonatologist, a blood bank team capable of administering multiple blood products, and an intensive care facility where the patient can be monitored. In this report, we present the case of a patient with preoperatively undiagnosed placenta percreta and discuss the relevant management methods. We also discuss the relevant obstetric and anesthetic management methods, as well as diagnostic and transfusion protocols.

Keywords: adherent placenta, accreta, peripartum hysterectomy, post-partum hemorrhage

Creative Commons License © 2012 The Author(s). This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.