Abstract
A 24-year-old woman G2P1L1 with previous caesarean section presented at 39 weeks of gestation to CG Hospital attached to JJM medical college, Davangere. Ultrasound showed features suggestive of placenta accrete. The patient was taken for elective cesarean delivery with blood in hand. On table, there was massive hemorrhage with atonic Post-partum hemorrhage. The obstetricians immediately proceeded with an emergency hysterectomy, during which time the lower uterine segment was found to be densely adherent to the bladder wall and the placental tissue invading into the bladder wall. The adherent part of placenta was left behind. She developed reactionary hemorrhage after 9 hrs. Relaparotomy was done and bleeding was found from the placental tissue adherent to bladder. Ligation of the internal iliac artery was done. She was discharged home on postoperative day 9 after removal of the abdominal drain. Her USG after one month shows non vascular placental tissue of 17 ml and her beta HCG values were less than 1
Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
