RARE CASE OF PLACENTA PREVIA ISTHMICOCERVICALIS, DIAGNOSED 40 HOURS AFTER CESAREAN SECTION. CASE REPORT

Abstract

Placenta previa is characterized by the abnormal placenta overlying the endocervical os. It is one of the most feared adverse maternal and fetal-neonatal complications in obstetrics. The condition is frequently complicated by placenta accreta or increta. Women with placenta previa have often an increased risk of postpartum hemorrhage. The risk factors for placenta accreta are previous uterine surgery, as cesarean sections (CS)., dilatation, curettage, the advanced maternal age, multiparity etc. A 31-year-old woman, P.T.S., who went in for delivery with moderate bleeding from the genitals and regular labor. Childbirth with cesarean section was performed (C.S), because of intrapartum asphyxia of the fetus. A female fetus was born, weighing 3270 g. Finding that the placenta is located on the posterior uterine wall and descends to the cervical canal. Immediately after CS, profuse bleeding from the uterus begins. After a control revision of the uterine cavity, cervical placenta was established. An emergency total hysterectomy without the adnexa was performed. It must be known that any bleeding during the third trimester of pregnancy, low blood counts and worsening general conditions of the woman should be considered as a warning of possible placenta previa isthmicocervicalis.

Keywords

• placenta previa isthmicocervicalis
• placenta accreta
• placenta increta
• postpartum hemorrhages