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Case Reports
. 2021 Oct 17;13(10):e18842.
doi: 10.7759/cureus.18842. eCollection 2021 Oct.

Placenta Percreta Complications

Danyon J Anderson  1 , Hefei Liu  1 , Devesh Kumar  1 , Mit Patel  1 , Simon Kim  2
Affiliations
Case Reports

Placenta Percreta Complications

Danyon J Anderson et al. Cureus. .

Abstract

Placenta percreta is the most severe form of placenta accreta and is characterized by placental invasion through the entirety of the myometrium and possibly into extrauterine tissues. It is associated with prior cesarean deliveries and placenta previa. Herein, we present the case of a patient who developed placenta percreta and experienced massive blood loss of 27 liters. She developed many complications over the next 11 months, including deep vein thrombosis, pulmonary embolism, preeclampsia after pregnancy, hematoma, blood clots in the bladder, lactation failure, ileus, vesicovaginal fistula, excessive scar tissue requiring surgery, loss of an ovary, and recurrent bladder perforation. We analyze the mechanisms of these complications and the most common complications associated with placenta percreta.

Keywords: disseminated intravascular coagulation (dic); placenta accreta syndrome; placenta percreta; surgical management of obstetrical hemorrhage; urinary bladder perforation.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Placenta Before (A) and After (B) Placentectomy
A) View of placenta after initial incision during placentectomy; B) Picture of excised placenta taken in operating room
See this image and copyright information in PMC

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