Shahrrava Niki, Lerner Jade, Patel Neil, Sandman Zachary, Cuevas Juana, Moretti Michael, Bahl Sumeet
St. George's University School of Medicine, St. George's, Grenada, West Indies.
Rutgers New Jersey Medical School, 185 S Orange Ave, Newark, NJ 07103, United States.
Case Rep Womens Health. 2023 Oct 11;39:e00554. doi: 10.1016/j.crwh.2023.e00554. eCollection 2023 Sep.
The current standard treatment for placenta accreta is a hysterectomy, which carries a significant risk of hemorrhage. Although prophylactic uterine artery embolization (UAE) is established as an effective means of minimizing perioperative bleeding, there are few reports of its use early in pregnancy with invasive placenta. A 45-year-old woman, gravida 6, para 1, at 11 weeks of gestation presented with heavy, painless uterine bleeding and was diagnosed with a spontaneous abortion complicated by cervical pregnancy and placenta accreta. The patient underwent bilateral UAE followed by gravid hysterectomy. This case report encourages prophylactic UAE prior to abdominal hysterectomy in patients with early gestational cervical pregnancy and placenta accreta to minimize blood loss during surgery.
目前胎盘植入的标准治疗方法是子宫切除术，该手术存在大出血的重大风险。尽管预防性子宫动脉栓塞术（UAE）已被确立为减少围手术期出血的有效手段，但关于其在妊娠早期用于侵袭性胎盘的报道很少。一名45岁女性，孕6产1，妊娠11周时出现大量无痛性子宫出血，被诊断为自然流产合并宫颈妊娠和胎盘植入。该患者接受了双侧子宫动脉栓塞术，随后进行了妊娠子宫切除术。本病例报告鼓励对早期妊娠宫颈妊娠合并胎盘植入的患者在腹部子宫切除术前行预防性子宫动脉栓塞术，以减少手术中的失血。
