ID 109558
Author
Kume, Katsuyoshi Department of Anesthesiology, Tokushima University Hospital KAKEN Search Researchers
Tsutsumi, Yasuo M. Department of Anesthesiology, Institute of Health Bioscience, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Soga, Tomohiro Department of Anesthesiology, Institute of Health Bioscience, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Sakai, Yoko Department of Anesthesiology, Tokushima University Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Kambe, Noriko Department of Anesthesiology, Institute of Health Bioscience, the University of Tokushima Graduate School KAKEN Search Researchers
Hamaguchi, Eisuke Department of Anesthesiology, Institute of Health Bioscience, the University of Tokushima Graduate School KAKEN Search Researchers
Kawahara, Tomiya Department of Anesthesiology, Tokushima University Hospital
Kasai, Asuka Department of Anesthesiology, Tokushima University Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Nakaji, Yoshimi Department of Anesthesiology, Tokushima University Hospital
Horikawa, Yousuke T. Department of Anesthesiology, Institute of Health Bioscience, the University of Tokushima Graduate School
Nakayama, Souichiro Department of Obstetrics and Gynecology, Institute of Health Bioscience, the University of Tokushima Graduate School
Kaji, Takashi Department of Obstetrics and Gynecology, Institute of Health Bioscience, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Irahara, Minoru Department of Obstetrics and Gynecology, Institute of Health Bioscience, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Tanaka, Katsuya Department of Anesthesiology, Institute of Health Bioscience, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Keywords
placenta percreta
massive hemorrhage
cesarean section
Content Type
Journal Article
Description
We describe a case of a 39-year-old woman diagnosed with placenta percreta complicated by massive hemorrhage during a cesarean section. At 27 weeks of gestation, she underwent an emergency cesarean section under general anesthesia for vaginal bleeding and an intrauterine infection. Soon after delivery, a massive hemorrhage was encountered while attempting to separate the placenta percreta from the bladder wall. Although total abdominal hysterectomy and partial cystectomy were performed, massive hemorrhaging persisted. Bleeding was finally controlled following bilateral internal iliac artery embolization. We used a cell salvage device and a rapid infuser for hemodynamics stabilization. Total blood loss was 47,000 mL, and anesthesia time was 12 h and 47 min. The patient was discharged on the 32nd postoperative day without major complications. Placenta accreta can be associated with life-threatening hemorrhage and it is vital to plan accordingly preoperatively.
Journal Title
The journal of medical investigation : JMI
ISSN
13431420
NCID
AA11166929
Volume
61
Issue
1-2
Start Page
208
End Page
212
Sort Key
208
Published Date
2014-02
EDB ID
FullText File
language
eng
TextVersion
Publisher
departments
University Hospital
Medical Sciences