Teymoordash Somayyeh Noei, Ghahari Sara, Movahedi Sana, Safkhani Zahra, Gholizadeh Milad, Khalili Soheil
Department of Obstetrics and Gynecology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Int J Surg Case Rep. 2024 Jun;119:109774. doi: 10.1016/j.ijscr.2024.109774. Epub 2024 May 17.
Placenta Accreta Spectrum (PAS) stands out as one of the most significant complications in pregnancy, capable of causing maternal morbidity and mortality.
In this report, we aim to discuss a case involving unsatisfactory conservative care coupled with uterine angioembolization, resulting in multiple hospitalizations due to placental infection and eventual hysterectomy.
Both conservative and non-conservative approaches have been utilized to mitigate maternal complications and mortality associated with Placenta Accreta Syndrome. While uterus-preserving methods play a crucial role, leaving the placenta in situ can lead to numerous severe long-term complications. Previous Research highlights the limitations of conservative management in the case of placenta accreta, necessitating careful patient selection due to potential morbidity and the risk of secondary hysterectomy.
invasive placentation poses challenges in obstetrics, presenting a risk of severe maternal morbidity and mortality. Conservative management poses limitations and risks, emphasizing the need for further research and evidence-based guidelines to enhance the management of PAS.
胎盘植入谱系疾病（PAS）是妊娠期间最严重的并发症之一，可导致孕产妇发病和死亡。
在本报告中，我们旨在讨论一例保守治疗效果不佳并联合子宫血管栓塞术的病例，该病例因胎盘感染多次住院，最终进行了子宫切除术。
保守和非保守方法均已用于减轻与胎盘植入综合征相关的孕产妇并发症和死亡率。虽然保留子宫的方法起着关键作用，但将胎盘留在原位会导致许多严重的长期并发症。先前的研究强调了胎盘植入病例中保守治疗的局限性，由于潜在的发病率和二次子宫切除的风险，需要仔细选择患者。
侵袭性胎盘植入给产科带来了挑战，存在严重孕产妇发病和死亡的风险。保守治疗存在局限性和风险，强调需要进一步研究和基于证据的指南，以加强对PAS的管理。
