[Placenta praevia percreta--a serious complication after previous cesarean section].
A 36-year-old G4P1 presented at 20 weeks gestation with vaginal bleeding. Her obstetrical history was significant for two first-trimester spontaneous abortions requiring curettage and a cesarean section. On admission placenta praevia was suspected by ultrasound. A placenta percreta was suspected by ultrasound follow-up at 30 weeks. At 33 weeks she underwent cesarean section because of serious vaginal bleeding. The profound blood loss with consecutive coagulopathy required an emergency hysterectomy and multiple blood transfusions. Placenta percreta is a rare but dramatic complication after previous cesarean section. This should be kept in mind as the rate of elective cesarean sections is rising continuously.
Rieger
L
L
Universitäts-Frauenklinik Würzburg.
Bernar
T
T
Girschick
G
G
Rüdiger
T
T
Steck
T
T
Dietl
J
J
D000022:Abortion, Spontaneous; D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects* / Q000379:methods; D005260:Female; D006801:Humans; D010923:Placenta Previa / Q000209:etiology*; D011247:Pregnancy