Diseases (Aug 2021)

Cesarean Hysterectomy in Abnormally Invasive Placenta: The Role of Prenatal Diagnosis

  • Ana Maria Cubo,
  • Ana Villalba Yarza,
  • Irene Gastaca,
  • María Victoria Lapresa-Alcalde,
  • Maria José Doyague,
  • Cristina Gónzalez,
  • José María Sayagués

DOI
https://doi.org/10.3390/diseases9030056
Journal volume & issue
Vol. 9, no. 3
p. 56

Abstract

Read online

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.

Keywords