RESUMO
Presentamos el caso de una paciente de 38 años con diagnóstico prenatal de placenta previa. Al iniciar la cesárea programada se evidenció una placenta pércreta. Tras un sangrado masivo incoercible a pesar de haberse realizado una histerectomía de urgencia, fue necesario embolizar los vasos mediante radiología intervencionista, evolucionando posteriormente sin incidencias(AU)
We present a case of a 38 year-old patient with prenatal diagnosis of placenta praevia. When the elective caesarean began it was found a placenta accreta. In spite of an emergency hysterectomy, embolisation using interventional radiography was needed after a massive obstetric haemorrhage. The post-operative period progressed without incidents(AU)
Assuntos
Humanos , Feminino , Adulto , Hemorragia/complicações , Hemorragia Pós-Parto/diagnóstico , Hemorragia Pós-Parto/fisiopatologia , Placenta Acreta/diagnóstico , Placenta Acreta/tratamento farmacológico , Diagnóstico Pré-Natal/métodos , Diagnóstico Pré-Natal , Radiografia Intervencionista/instrumentação , Radiografia Intervencionista/métodos , Norepinefrina/uso terapêutico , Hemorragia Pós-Parto , Placenta Acreta , Diagnóstico Pré-Natal/tendências , Histerectomia/métodos , Manejo da Dor/métodosRESUMO
We present a case of a 38 year-old patient with prenatal diagnosis of placenta praevia. When the elective caesarean began it was found a placenta accreta. In spite of an emergency hysterectomy, embolisation using interventional radiography was needed after a massive obstetric haemorrhage. The post-operative period progressed without incidents.