scholarly journals Placenta Previa with Succenturiate Placenta–Delivered with a Living Healthy Baby

2016 ◽  
Vol 30 (2) ◽  
pp. 116-118
Author(s):  
Sangita Patra ◽  
Pallab Kumar Mistry ◽  
Mrinmoyee Dutta ◽  
Indrani Das
Keyword(s):  
Postpartum Haemorrhage ◽  
Placenta Previa ◽  
Healthy Male ◽  
Healthy Baby ◽  
Iliac Arteries ◽  
Antepartum Haemorrhage ◽  
Male Baby ◽  
Vasa Previa ◽  
Internal Iliac ◽  
Internal Iliac Arteries

The placenta is a flattened discoidal mass . Placenta with various abnormal shape like bidiscoidal, low-patiented, placenta membranacae or diffuse, placenta succenturiata, circumvallate circummarginate placentae have been less encountered but very remotely studied in relevance to clinical significance. Placenta succenturiata is a bilobbed placenta , where there is one large and one small part, connected with membranous vessels. It is associated with antepartum haemorrhage, Vasa previa, postpartum haemorrhage, retained lobe of placentae and infection. Antepartum haemorhage due to placenta succenturiata appears to be uncommonly recorded in the literature. We describe a case of placenta succenturiata , presented with antepartum haemorrhage. By LSCS a living healthy male baby of 3.3 kgs was delivered. Ultimately the Internal Iliac arteries were ligated to stop lower uterine segment bleeding.Bangladesh J Obstet Gynaecol, 2015; Vol. 30(2) : 116-118

Prophylactic occlusion balloon placement in internal iliac arteries for the prevention of postpartum haemorrhage due to morbidly adherent placenta: short term outcomes

2017 ◽  
Vol 122 (10) ◽  
pp. 798-806 ◽  
Author(s):  
Salvatore Alessio Angileri ◽  
Leto Mailli ◽  
Claudio Raspanti ◽  
Anna Maria Ierardi ◽  
Gianpaolo Carrafiello ◽  
...  
Keyword(s):  
Postpartum Haemorrhage ◽  
Short Term ◽  
Iliac Arteries ◽  
Morbidly Adherent Placenta ◽  
Occlusion Balloon ◽  
Adherent Placenta ◽  
Internal Iliac ◽  
Internal Iliac Arteries

scholarly journals Antenatal diagnostic aspects of placenta percreta and its influence on the perinatal outcome: a clinical case and literature review

2017 ◽  
Vol 23 (4) ◽  
pp. 219-226 ◽  
Author(s):  
Jelena Volochovič ◽  
Diana Ramašauskaitė ◽  
Ramunė Šimkevičiūtė
Keyword(s):  
Clinical Case ◽  
Placenta Previa ◽  
Massive Bleeding ◽  
Placenta Percreta ◽  
Optimal Care ◽  
Iliac Arteries ◽  
Internal Iliac ◽  
Life Threatening ◽  
Caesarean Hysterectomy ◽  
Internal Iliac Arteries

Background. Placenta percreta is a very rare, but extremely life-threatening obstetrical pathology for the mother and the child, especially in the cases when it is not diagnosed before the birth and when it results in massive bleeding and a dramatic deterioration of condition. It is extremely important to diagnose this pathology as early as possible and plan further optimal care of patients in order to minimize life-threatening complications. Case report. The paper presents an illustrated clinical case of placenta percreta determined before the birth. Features of visual diagnostics are discussed. A 32-year-old pregnant woman with a history of two caesarean deliveries arrived at the tertiary level hospital at 22 weeks of gestation due to abdomen pain. Placenta previa was diagnosed and ultrasound, magnetic resonance imaging suggesting placenta percreta were seen. On the  32nd week, the  planned caesarean hysterectomy was performed. The balloon catheters to occlude the internal iliac arteries and minimize bleeding during the surgery were used. Conclusions. Antenatal diagnosis of placenta percreta is especially important. Methods of visual diagnostics are complementary. The optimal surgical approach during caesarean hysterectomy remains controversial. In the case of the slow oozing without a clearly identified source of bleeding after hysterectomy and internal iliac arteries balloons deflation, ligation of one of the internal iliac arteriescan be reasonable to avoid residual haemorrhage and relaparotomy.

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