title: Double Dilemma-Management of a Pregnant Patient With a Difficult Airway Presenting With Undiagnosed Placenta Percreta: A Case Report.
abstract: Patients with abnormal placentation should undergo planned cesarean delivery with the option for hysterectomy based on severity. We report a case of a multigravida with a known difficult airway presenting for cesarean delivery. She was found to have an undiagnosed placenta percreta at the start of surgery after the epidural was placed. After team discussion, the procedure was aborted and rescheduled electively 2 days later under general anesthesia with preoperative placement of internal iliac artery balloon catheters. This case emphasizes the importance of a multiteam approach toward the management of challenging and unanticipated cases.
authors.affiliation: From the Department of Anesthesiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
authors.forename: Yewande A
authors.initials: YA
authors.lastname: Omowanile
authors.forename: Luke N
authors.initials: LN
authors.lastname: Weiler
authors.forename: Jill M
authors.initials: JM
authors.lastname: Mhyre
authors.forename: Faiza A
authors.initials: FA
authors.lastname: Khan
mesh_terms: D000328:Adult; D000768:Anesthesia, General; D021721:Balloon Occlusion / Q000379:methods*; D017604:Cesarean Section, Repeat; D017558:Elective Surgical Procedures; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007083:Iliac Artery; D007442:Intubation, Intratracheal / Q000379:methods*; D007828:Laryngoscopy; D010348:Patient Care Team; D010921:Placenta Accreta / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D011247:Pregnancy; D016896:Treatment Outcome