Resumen

COLMENARES BARON, Linda Rosmery; D’ AMBROSIO HUERFANO, Adelmina Concepción; DI GUGLIELMO PEREIRA, María José  y  PAREDES, Ana María. From placenta previa to placenta percreta, diagnostic and therapeutic challenge. A case report. Rev Obstet Ginecol Venez [online]. 2025, vol.85, n.3, pp.479-485.  Epub 24-Oct-2025. ISSN 0048-7732.  https://doi.org/10.51288/00850318.

Placenta previa is defined as placental implantation in the lower uterine segment, fully or partially covering the internal cervical os, which can lead to painless bleeding in the third trimester of pregnancy and increase the risk of preterm birth, placental abruption, and postpartum hemorrhage. Placental accretism is a complication where chorionic villi abnormally invade the myometrium, making it dificult to remove the placenta and causing a massive hemorrhage that requires hysterectomy. We present the case of a 38-year-old patient, IIIG, AI, IC, with a pregnancy of 37 weeks + 1 day. Obstetric ultrasound at 34 weeks showed a total occlusive placenta previa, without placental lacunae, highly vascularized myometrium, and an irregular posterior bladder wall, indicating a high risk of placental accretism. She was hospitalized under strict non-invasive hemodynamic monitoring to plan for the termination of pregnancy.

Palabras clave : Pregnancy; Placenta accreta; Placenta increta; Third-trimester hemorrhage.

        · resumen en Español     · texto en Español     · Español ( pdf )