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BMC Pregnancy and Childbirth

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Open Access 01-12-2015 | Case report

What should we do to optimise outcome in twin pregnancy complicated with placenta percreta? A case report

Authors: Mehmet Aral Atalay, Fatma Oz Atalay, Bilge Cetinkaya Demir

Published in: BMC Pregnancy and Childbirth | Issue 1/2015

Abstract

Background

Patients with morbidly adherent placenta (MAP) are under risk of massive bleeding. It readily necessitates very complicated surgery and massive blood transfusion, and even leads to mortality. Cesarean hysterectomy (CH) is the procedure that is acknowledged worldwide, since it helps to minimize complications.

Case presentation

A patient with dichorionic twin pregnancy underwent to cesarean section (CS) due to preliminary diagnosis of placenta percreta at her 35^th week of pregnancy. Both of the placentas were left in situ. The patient admitted with signs of infection. Emergency total abdominal hysterectomy was performed 7 weeks after CS. In the course of hysterectomy, 3 units of erythrocyte suspension and 2 units of fresh frozen plasma were transferred, whereas none was required during CS.

Conclusion

Abandoning placenta in situ seems to be a logical alternative to the CH in patients with placenta percreta in order to minimize complications related to massive blood transfusion and surgical technique. However, it appears to increase maternal morbidity due to maternal infection in twin pregnancy.

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Title: What should we do to optimise outcome in twin pregnancy complicated with placenta percreta? A case report
Authors: Mehmet Aral Atalay
Fatma Oz Atalay
Bilge Cetinkaya Demir
Publication date: 01-12-2015
Publisher: BioMed Central
Published in: BMC Pregnancy and Childbirth / Issue 1/2015
Electronic ISSN: 1471-2393
DOI: https://doi.org/10.1186/s12884-015-0714-x

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

What should we do to optimise outcome in twin pregnancy complicated with placenta percreta? A case report

Abstract

Background

Case presentation

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Case presentation

Conclusion

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