title: Combination of B-Lynch brace suture and uterine artery embolization for atonic bleeding after cesarean section in a patient with placenta previa accreta.
abstract: We report the case of a patient with placenta previa accreta. A 29-year-old multipara, who had previously undergone a cesarean section, was admitted to our hospital for vaginal bleeding. An emergency cesarean section was carried out at the 33rd week of gestation. Uterine bleeding was uncontrollable, and hence, hysterectomy was planned. However, before hysterectomy, B-Lynch brace suture was carried out to control the massive bleeding; moreover, the suturing technique enabled uterine artery embolization to be carried out as an interventional radiological technique. A good postoperative course was observed, and thus, a secondary hysterectomy was not required. A combination of the B-Lynch brace suture technique and uterine artery embolization may be an alternative treatment for emergency bleeding during cesarean section in patients with placenta previa accreta.
authors.affiliation: Department of Obstetrics and Gynecology, Nara Medical University, Nara, Japan.
authors.forename: Emi
authors.initials: E
authors.lastname: Koyama
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Naruse
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Shigetomi
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Sado
authors.forename: Hidekazu
authors.initials: H
authors.lastname: Oi
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kobayashi
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D005260:Female; D006801:Humans; D010921:Placenta Accreta / Q000601:surgery*; D006473:Postpartum Hemorrhage / Q000601:surgery*; D011247:Pregnancy; D013536:Suture Techniques; D055357:Uterine Artery Embolization / Q000379:methods*; D014592:Uterine Hemorrhage / Q000209:etiology / Q000601:surgery*