Management of Massive Hemorrhage in Placenta Percreta: A CASE Report

The case in this study was a 34-year-old woman with a history of cesarean delivery. She was subjected to the surgery for the pregnancy determination at her 34 weeks of gestation with placenta percreta. Due to placenta percreta, there were two peripheral venous catheters inserted into the intravenous lines patient’s right hand; a green one and a gray one linked to Ringer’s solution. Moreover, a gray catheter was inserted into the intravenous line in left hand to administer normal saline. After the delivery, the surgeon reported the severity of the operation and the possibility of massive hemorrhage. The urology and surgical modalities were immediately available due to incomplete placental separation from the uterine wall. Afterwards, two units of packed red blood cells were transfused slowly. Suddenly, there was massive bleeding for about 10 min with the estimated blood loss of 3 L. The blood bank was immediately asked for the blood with no cross-matching. Blood products were repeatedly injected through the three intravenous lines. At the end of the operation, the patient was sent to the intensive care unit with spontaneous breath and intubation; therefore, 3 h later, the patient was extubed.