Abstract

MENESES-PARRA, Angy Lorena; NINO-GONZALEZ, Jorge Ernesto  and  GARCIA RIANO, Diego Armando. Case Report: Placenta Percreta With Previous Embolization of Anomalous Vessels. Rev. Med [online]. 2021, vol.29, n.1, pp.97-104.  Epub Dec 31, 2021. ISSN 0121-5256.  https://doi.org/10.18359/rmed.5169.

placental accretism is one of the most feared obstetric complications. It is understood as the process of abnormal placental insertion, secondary to a surgical procedure, which causes a decidualization error in the scar area leading to abnormal deepening of the trophoblast. The freguency of this pathology has been increasing due to the increase in the rate of cesarean sections in recent years. The case is presented in the hospital Universitario Clínica San Rafael in Bogotá, it is a 36-year-old patient, 37,1 weeks gestation, with a history of previous cesarean section, with an evident case of placenta percreta; after birth, placenta was left in place and thus the endovascular surgery service performed embolization of anomalous vessels, which reduced bleeding in the deferred hysterectomy. A favorable evolution was verified, and the patient was followed up until she was discharged from the institution without complications. Currently, there are several therapeutic approaches, including hysterectomy after cesarean section and medical management up to placental involution and delayed hysterectomy, all aimed at reducing associated complications, among which the most frequent are hemorrhage, transfusion requirements and days of hospitalization and infection, in order to reduce extreme maternal morbimortality.

Keywords : placenta percreta; placenta accreta; ultrasonography; embolization; placenta previa.

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