title: Cesarean hysterectomy for placenta percreta invading the anterior abdominal wall: anesthetic considerations--a case report.
abstract: Placenta accreta is defined as an abnormal adherence of the placenta to the uterine wall owing to a faulty or an absent decidua basalis. Placenta accreta is further subdivided into placenta accreta vera, increta and percreta, depending on the level of invasion of the uterine wall and surrounding structures. Placenta percreta represents invasion to the serosa and/or other pelvic structures. We herein present the case of a pregnant patient with placenta percreta invading anterior abdominal wall and review the perioperative (Cesarean hysterectomy) anesthetic management of this complication.
authors.affiliation: Department of Anesthesiology and Reproductive Medicine, University of California San Diego, San Diego, California, USA. kkuczkowski@ucsd.edu
authors.forename: Krzysztof M
authors.initials: KM
authors.lastname: Kuczkowski
authors.forename: Todd
authors.initials: T
authors.lastname: Miller
mesh_terms: D000328:Adult; D000758:Anesthesia / Q000379:methods*; D000773:Anesthesia, Obstetrical / Q000379:methods*; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D010921:Placenta Accreta / Q000601:surgery*; D011247:Pregnancy