Cesarean hysterectomy in abnormally invasive placenta: the role of prenatal diagnosis

[EN]An abnormally invasive placenta (AIP) is a placenta that cannot be removed spontaneously or manually without causing severe bleeding. It is a dangerous condition associated with a high rate of maternal and perinatal morbidity and mortality due to the high rate of massive bleeding and visceral in...

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Bibliographic Details
Authors: Cubo Nava, Ana María, Villalba Yarza, Ana, Gastaca, Irene, Lapresa-Alcalde, María Victoria, Doyagüe Sánchez, María José, Gónzalez, Cristina, Sayagués Manzano, José María
Format: article
Publication Date:2021
Country:España
Institution:Universidad de Salamanca (USAL)
Repository:GREDOS. Repositorio Institucional de la Universidad de Salamanca
OAI Identifier:oai:gredos.usal.es:10366/154813
Online Access:http://hdl.handle.net/10366/154813
Access Level:Open access
Keyword:Abnormally invasive placenta
Cesarean section
Myometrial invasion
Hysterectomy
Prenatal diagnosis
Cesarean Section
cesárea
histerectomía
Description
Summary:[EN]An abnormally invasive placenta (AIP) is a placenta that cannot be removed spontaneously or manually without causing severe bleeding. It is a dangerous condition associated with a high rate of maternal and perinatal morbidity and mortality due to the high rate of massive bleeding and visceral injuries. The standardized ultrasound diagnostic criteria have helped improve its early diagnosis, which is essential to plan coordinated actions to reduce associated morbimortality. We present a case report in which ultrasound diagnosis played a decisive role, enabling the coordination of a multidisciplinary team and improving the immediate care of both mother and newborn. Cesarean hysterectomy was performed with minimal blood loss and a good postsurgical recovery.