External iliac artery thrombosis after hypogastric artery ligation and pelvic packing for placenta previa percreta
Journal Title: Turkish Journal of Obstetrics and Gynecology - Year 2018, Vol 15, Issue 2
Abstract
Placenta previa percreta is a serious pregnancy condition that may cause massive bleeding. Life-threatening hemorrhage is commonly managed via cesarean hysterectomy or vascular ligations in order to preserve fertility. We present a case of bilateral external iliac artery thrombosis after pelvic compression and uterine devascularization due to placenta previa percreta. The patient had cesarean section due to ultrasonography and magnetic resonance imaging-diagnosed placenta previa percreta, and stated that she preferred a conservative approach rather than hysterectomy in a case of massive bleeding. Spontaneous hemorrhage was recognized during the operation. Pelvic compression and bilateral uterine and internal iliac artery ligations were performed. The left external iliac artery was accidentally held and bonded as the left internal iliac artery, which was turned loose within a minute after distinguishing the vessels. Emergency angiography that was applied because of patient’s leg pain showed bilateral external iliac artery thrombosis. Angioplasty was performed by a cardiologist for bilateral occlusions. Placenta invasion abnormalities may be managed by pelvic compression or vascular ligations, which have their own serious complications that the surgeon must manage immediately.
Authors and Affiliations
Ahmet Rıza Esmer, Reyhan Aslancan, Burak Teymen, Eray Çalışkan
Keywords
Related Articles
- EP ID EP365348
- DOI 10.4274/tjod.82642
- Views 88
- Downloads 0
Could the female-to-male transgender population be donor candidates for uterus transplantation?
Objective To evaluate the eligibility of female-to-male (FtM) transgender people as donor candidates with regard to histologic, surgical, and social aspects. Materials and Methods In this prospective cohort study, 31 Ft...
Early-onset neonatal infection in pregnancies with prelabor rupture of membranes in Kosovo: A major challenge
Objective: Prelabor rupture of membranes (PROM) is a common event in obstetrics that has a major impact in pregnancy outcome. This condition is linked to a number of pregnancy and birth complications with early-onset neo...
Women self-reported G-spot existence and relation with sexual function and genital perception
Objective: Aim of study to determine the existence of the G-spot from the healthy women’s point of view and to assess the relationship with sexual function and genital perception. Materials and Methods: Sexually-active...
Comparison of corifollitropin alfa and daily recombinant follicle-stimulating hormone in poor responder patients undergoing in vitro fertilization cycles
Objective The aim of this study was to compare the effect of corifollitropin alfa (CFA) and recombinant follicle-stimulating hormone (rFSH) in poor-responder patients undergoing antagonist cycles. Materials and Methods...
Isolated tubal torsion: Successful preoperative diagnosis of five cases using ultrasound and management with laparoscopy
Our aim was to evaluate the presentation and diagnostic evaluation of patients with isolated tubal torsion and to evaluate the surgical approach to these patients. We also aimed to define the ultrasonographic diagnostic...