title: [Placenta praevia totalis et increta. Cause of life-threatening haemorrhaging during a caesarean section].
abstract: Placenta increta is a rare but potentially life-threatening risk constellation after a previous caesarean section. We present the case of a 29-year-old gravida 2 para 1 patient, who developed dramatic haemorrhaging caused by this abnormal placentation, which could only be resolved by a postpartal hysterectomy. This demonstrates that in the case of a combination of the two most common predisposing factors, repeat caesarean section and placenta praevia, the possibility of a placenta increta should be considered and suitable precautions should be taken.
authors.affiliation: Klinik für Anaesthesiologie, Intensivmedizin und Schmerztherapie, Universitätsklinikum des Saarlandes, 66421 Homburg/Saar. aiugru@uniklinikum-saarland.de.
authors.forename: U
authors.initials: U
authors.lastname: Grundmann
authors.forename: A K
authors.initials: AK
authors.lastname: Ertan
authors.forename: S
authors.initials: S
authors.lastname: Jacob
authors.forename: S
authors.initials: S
authors.lastname: Kreuer
mesh_terms: D000328:Adult; D000773:Anesthesia, Obstetrical; D000775:Anesthesia, Spinal; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007044:Hysterectomy; D010923:Placenta Previa / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology* / Q000503:physiopathology; D006473:Postpartum Hemorrhage / Q000209:etiology* / Q000503:physiopathology; D011247:Pregnancy