Anderson Danyon J, Liu Hefei, Kumar Devesh, Patel Mit, Kim Simon
Medicine, School of Medicine, Medical College of Wisconsin, Wauwatosa, USA.
Urology, University of Colorado, Aurora, USA.
Cureus. 2021 Oct 17;13(10):e18842. doi: 10.7759/cureus.18842. eCollection 2021 Oct.
Placenta percreta is the most severe form of placenta accreta and is characterized by placental invasion through the entirety of the myometrium and possibly into extrauterine tissues. It is associated with prior cesarean deliveries and placenta previa. Herein, we present the case of a patient who developed placenta percreta and experienced massive blood loss of 27 liters. She developed many complications over the next 11 months, including deep vein thrombosis, pulmonary embolism, preeclampsia after pregnancy, hematoma, blood clots in the bladder, lactation failure, ileus, vesicovaginal fistula, excessive scar tissue requiring surgery, loss of an ovary, and recurrent bladder perforation. We analyze the mechanisms of these complications and the most common complications associated with placenta percreta.
穿透性胎盘植入是胎盘植入最严重的形式,其特征是胎盘侵入子宫肌层全层,并可能侵入子宫外组织。它与既往剖宫产和前置胎盘有关。在此,我们报告一例发生穿透性胎盘植入并出现27升大出血的患者。在接下来的11个月里,她出现了许多并发症,包括深静脉血栓形成、肺栓塞、产后子痫前期、血肿、膀胱内血凝块、泌乳失败、肠梗阻、膀胱阴道瘘、需要手术切除的过多瘢痕组织、一侧卵巢丧失以及复发性膀胱穿孔。我们分析了这些并发症的发生机制以及与穿透性胎盘植入相关的最常见并发症。