CASE REPORT
Placenta accreta spectrum (PAS) – a clinical case involving prophylactic internal iliac artery occlusion
1
Student Scientific Association, Chair and Department of Obstetrics and Pathology of Pregnancy, Medical University, Lublin, Poland
2
Chair and Department of Obstetrics and Pathology of Pregnancy, Medical University, Lublin, Poland
Corresponding author
Karolina Pawelec
Student Scientific Association, Chair and Department of Obstetrics and Pathology of Pregnancy, Medical University, Lublin, Poland
Student Scientific Association, Chair and Department of Obstetrics and Pathology of Pregnancy, Medical University, Lublin, Poland
KEYWORDS
interventional radiologyplacenta percretacaesarean hysterectomyplacenta accreta spectrumballoon occlusionmaternal haemorrhage
TOPICS
ABSTRACT
Placenta accreta spectrum (PAS) comprises a range of obstetric disorders characterized by abnormal placental invasion
into the myometrium and surrounding tissues. The case is presented of placenta percreta in a 33-year-old gravida 5, para 3
patient with a history of three prior caesarean sections. At 29 weeks of gestation, she was admitted with suspected placenta
previa and accreta. Imaging revealed multiple placental lacunae extending toward the parametrium. The patient underwent
planned caesarean delivery at 34 weeks with prophylactic balloon occlusion of the internal iliac arteries. A peripartum
hysterectomy was performed with successful haemorrhage control. The mother and infant were discharged in good
condition. This case highlights the importance of early diagnosis, multidisciplinary planning, and the use of interventional
radiology to reduce maternal morbidity in PAS.
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| eISSN: | 1898-7516 |
| ISSN: | 1898-2395 |
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