P026: A CASE OF LIFE THREATENING PLACENTA PERCRETA SUCCESSFULLY MANAGED WITHOUT BLOOD PRODUCTS
Leon Anijar, MD, Matthew Andoniadis, MD, Michael A Cometa, MD; University of Florida
Placenta percreta is a life threatening placental invasion of the myometrium that, if not vigilantly managed, can quickly spiral into extreme maternal hemorrhage and significant periop maternal and neonatal morbidity. We present the successful case of a 36-year-old G4 parturient with placenta percreta who underwent pre-surgical interventional radiology uterine artery balloon catheter placement and subsequent postpartum embolization. This patient's surgical care spanned two days and her management brought to bare the full spectrum of anesthetic and surgical management; ranging from awake c-section with deliberate placental retention to full general anesthesia with a completion hysterectomy. She experienced minimal blood loss and no blood products were administered at any point in her hospital stay. We propose that our experience in the management of this patient could serve as guidance for other physicians tasked with caring for this complex patient population.