Total Placental Retention, Postpartum Placenta Percreta: Case Report

Abstract

Placenta percreta, the rarest and most severe form of placenta accreta, is an extremely rare but potentially lethal event during pregnancy. Because of its propensity for severe hemorrhage, it is a potentially life-threatening condition. The pathophysiological defect in placenta accreta is a partial or complete absence of decidua basalis Placenta percreta usually presents as postpartum hemorrhage when the placenta is manually extracted from the underlying myometrium. Risk factors include previous cesarean section; uterine curettage; placental abnormalities, placenta previa; congenital anomalies; and cornual implantation of placenta. Although commonly discovered at the time of delivery, antenatal diagnosis may be achieved with ultrasound, magnetic resonance imaging. Patient was refered our clinic from Kars with the diagnosis of postpartum placental retantion.There was no history of uterin operation.After ultrasound and MR imaging placenta percreata was diagnosed. Since she was hemodynamically stable, elective hysterectomy was performed. At operation other abdominal organs, including the liver, spleen, kidneys, and ovaries, appeared normal