Difficulty of the surgical management of a case with placenta percreta invading towards parametrium

BÖREKÇİ B., İNGEÇ M., KUMTEPE Y., Gundogdu C., KADANALI S.

JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH, cilt.34, sa.3, ss.402-407, 2008 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 34 Sayı: 3
  • Basım Tarihi: 2008
  • Doi Numarası: 10.1111/j.1447-0756.2008.00780.x
  • Dergi Adı: JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.402-407
  • Anahtar Kelimeler: parametrial invasion, placenta percreta, surgical management, CONGENITAL-SYPHILIS
  • Atatürk Üniversitesi Adresli: Evet

Özet

A 37-year-old woman was admitted due to vaginal bleeding at 25 weeks of gestation to our gynecology unit. Placenta percreta, which stems from posterior wall of the uterus, forming a mass in Douglas cavity and invading towards right parametrium was clinically diagnosed by exploration. Bilateral internal iliac artery ligation and supracervical hysterectomy could not prevent bleeding. A right radical parametrectomy was necessary to remove invaded parametrium and to control bleeding. The placenta percreta invading parametrium may need an extended hysterectomy procedure. Excess bleeding may be prevented by leaving the placenta in situ during surgery if the placenta percreta is diagnosed before termination of pregnancy, A classical incision may help leaving placenta is situ during operation.