Internal Iliac-Artery Balloon Occlusion in a Patient with Placenta Increta During Cesarean Hysterectomy

Abstract

Abstract Background: Abnormal attachment of the placenta (placenta accreta, increta, or percreta) is an uncommon but potential cause of maternal mortality from massive postpartum hemorrhage and other comorbidities. Internal iliac artery balloon occlusion is a novel technique, and can be used in such cases instead of the conventional cesarean hysterectomy. Case: A 27-year-old woman, who was diagnosed with placenta previa, was admitted at 35 weeks and 1 day of gestation. On ultrasound, she was diagnosed with complete placenta previa and features of placenta increta. An elective cesarean delivery and subsequent hysterectomy were planned, with a multidisciplinary approach. Prior to this, the patient had had spotting per vaginum and mild uterine contractions at 35 weeks and 3 days of gestation; therefore, she was taken for an emergency cesarean delivery with internal iliac artery balloon occlusion and then cesarean hysterectomy. The balloons were deflated after closure of the vaginal cuff. Results: The patient...