Managing Placenta Accreta Spectrum: A case report on combining conservative care with uterine angioembolization

TL;DR

This case report discusses the challenges of managing placenta accreta spectrum using a combination of conservative care and uterine angioembolization.

Contribution

The paper highlights the limitations and complications of conservative management combined with angioembolization in placenta accreta cases.

Findings

Conservative care combined with uterine angioembolization led to multiple hospitalizations due to placental infection.

The case resulted in a hysterectomy, showing the risks of conservative approaches in placenta accreta spectrum.

Arterial embolization can help control surgical morbidity and accelerate placental resorption in retained placenta.

Abstract

Placenta Accreta Spectrum (PAS) stands out as one of the most significant complications in pregnancy, capable of causing maternal morbidity and mortality.

In this report, we aim to discuss a case involving unsatisfactory conservative care coupled with uterine angioembolization, resulting in multiple hospitalizations due to placental infection and eventual hysterectomy.

Both conservative and non-conservative approaches have been utilized to mitigate maternal complications and mortality associated with Placenta Accreta Syndrome. While uterus-preserving methods play a crucial role, leaving the placenta in situ can lead to numerous severe long-term complications. Previous Research highlights the limitations of conservative management in the case of placenta accreta, necessitating careful patient selection due to potential morbidity and the risk of secondary hysterectomy.

invasive placentation poses challenges in obstetrics, presenting a risk of severe maternal morbidity and mortality. Conservative management poses limitations and risks, emphasizing the need for further research and evidence-based guidelines to enhance the management of PAS.

•Invasive placentation poses challenges in obstetrics, presenting a risk of severe maternal morbidity and mortality.•The main goal in treating placenta accreta spectrum (PAS) is to manage hemorrhage, historically addressed with hysterectomy.•Due to increased risks, there has been a shift toward conservative management.•Conservative management for placenta accreta has limitations and can lead to complications like organ damage, secondary hysterectomy, and infection.•Arterial embolization controls surgical morbidity and accelerates placental resorption in the case of retained placenta.

Invasive placentation poses challenges in obstetrics, presenting a risk of severe maternal morbidity and mortality.

The main goal in treating placenta accreta spectrum (PAS) is to manage hemorrhage, historically addressed with hysterectomy.

Due to increased risks, there has been a shift toward conservative management.

Conservative management for placenta accreta has limitations and can lead to complications like organ damage, secondary hysterectomy, and infection.

Arterial embolization controls surgical morbidity and accelerates placental resorption in the case of retained placenta.

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