CT angiography as a complementary diagnostic method for the planning of surgery in invasive placenta: case report and literature review

Jésser M. Herrera-Salgado, Intensive Care Unit, Hospital Materno Perinatal Mónica Pretelini Sáenz (HMPMPS), Toluca de Lerdo, Estado de México. Mexico
Elena Guzmán-Monteón, Emergency Room, Hospital Materno Perinatal Mónica Pretelini Sáenz (HMPMPS), Toluca de Lerdo, Estado de México. Mexico
Gabriel Pérez-Morán, Radiology Service, Hospital Materno Perinatal Mónica Pretelini, Toluca de Lerdo, State of Mexico, Mexico
Ricardo M. Malagón-Reyes, Acute Medicine, Hospital Materno Perinatal Mónica Pretelini Sáenz (HMPMPS), Toluca de Lerdo, Estado de México. Mexico
Luis E. Reyes-Mendoza, Intensive Care Unit, Hospital Materno Perinatal Mónica Pretelini, Toluca de Lerdo, State of Mexico, Mexico
Jesús C. Briones-Garduño, Research Coordination, Hospital Materno Perinatal Mónica Pretelini, Toluca de Lerdo, State of Mexico, Mexico

Abnormal placental invasion is a condition related to multiple conditions including previous elective cesarean delivery and its increased frequency. For the obstetrician, it is also increasingly common to face this clinical entity, which has a high morbidity due to organ injury both directly and indirectly during the surgical procedure and not being attended by a highly qualified medical staff. In this paper, we focussed mainly on the surgical approach and its multidisciplinary management and a clinical case on placental percretism attended at the HMPMPS using a complementary diagnostic method (CT angiography) to plan the vascular approach during surgery.

Keywords: Invasive placenta. Surgical techniques in placental acretism. Critical hemorrhage due to placental acretism. CT angiography.