Placenta percreta sintomática con embarazo temprano tratada con histerectomía obstétrica

Abstract

Introduction: Placental acretism is a pathology diagnosed as a red key worldwide; because of the high risk of intrapartum bleeding, which endangers the life of the mother and newborn, there are multiple obstetric management protocols, demonstrating that in emergency situations, the medical team dealing with the case deal with bleeding hysterectomy c-section is the curative treatment, which has been shown to have the best results performed in this health house, and which supports WHO's main goals in reducing neonatal maternal morbidity. Objective: Describe a clinical case of placenta percreta symptomatic with early pregnancy. Material and methods: Retrospective descriptive study, clinical case presentation. Results: We present the obstetric clinical case of impact of a 38-year-old pregnant patient, gestations 4, previous cessations 2, abortion 1, current pregnancy emergency entrance to the obstetric center of the General Teaching Hospital Ambato (HGDA) in Ecuador, with pregnancy of 13.6 weeks Gestation, moderately dark red genital bleeding, abdominal pain and pelvic belt, ejects fetus about 12 centimeters in length, resolves with instrumental gradation with transsurgical findings of histerometry 12 centimeters, abundant corioplacental remains and moderate bleeding per cervical canal, not based on the administration of oxytocic methylergomethrin, prostaglandins E1, treatment is discontinued, hemodynamically stabilized, assessment with cabinet examinations, emergency laparotomy is performed with transsurgical findings: organized hemoperitone (clots), increased uterus 14 centimeters in length, with invasion and placental perforation in the lower segment (uterine scar) edges non-delimitable irregulars that invade visceral peritoneal in the back wall of the bladder, performed obstetric hysterectomy with favorable hospital post-surgical evolution. Conclusions: The clinical case of symptomatic percreta placenta with emergency early pregnancy treated with Obstetric hysterectomy is the most globally realized therapeutic alternative for high-risk obstetric bleeding conditions high maternal and fetal associated morbidity. Being indispensable in health homes that treat obstetric patients with bleeding complications, train their staff and integrate expert (medical) expert group, have blood products to promote safe motherhood, with care Qualified