A Case Study on Placenta Percreta Sai Aravind D*, Varshitha N, Ramesh G and Srinivasa Babu P Department of Pharmacy Practice, Vignan Pharmacy College, Vadlamudi, India *Corresponding author: Aravind DS, Department of Pharmacy Practice, Vignan Pharmacy College, Vadlamudi, India, Tel.: 08632118030; E-mail: aravindpharmd@yahoo.com Received date: 23 April, 2018; Accepted date: 7 May, 2018; Published date: 24 May, 2018 Copyright: ©2018 Aravind DS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Abstract Placenta percreta is a serious pregnancy condition that occurs when blood vessels and other parts of the placenta grow the deeply into the uterine wall. Placenta percreta is a rare but a life-threatening condition. Control of massive haemorrhage is the first priority; however, the patient's desire for future fertility has to be taken into consideration. Here we present a case where we had to do a quick subtotal hysterectomy because of torrential bleed due to placenta percreta with severe abdominal pain. Keywords: Placenta percreta; Hysterectomy Introduction Te placenta grows onto the upper part of the uterus and stays there until your baby is born. During the last stage of labour, the placenta separates from the wall of the uterus, and your contractions help push it into the vagina (birth canal). Tis is also called the aferbirth. Placenta percreta is a serious pregnancy condition that occurs when blood vessels and other parts of the placenta grows deeply into the uterine wall. In other words, the placental blood vessels innervate into the uterine wall and gets attached to the uterus. Typically, the placenta detaches from the uterine wall afer childbirth [1]. With Placenta accreta part or the entire placenta remains frmly attached, this can cause severe blood loss afer delivery. Placenta percreta and accreta are the same conditions but the position of the placenta attaching to the uterus is diferent. Due to this condition in most of the women was sufering with anemia afer delivery to due severe blood loss and even leads to death. While treating these cases the doctor looks for the risk to beneft ratio and counsel the patient regarding the abortion and hysterectomy. Causes Placenta percreta is thought to be related to abnormalities in the lining of the uterus, typically due to miscarrying afer a C-section or other uterine surgery. Tis might allow the placenta to grow too deeply into the uterine wall, sometimes, however placenta occurs even without the history of uterine surgery [2]. Te pregnancy afer the age of 35 is also one of the rare cause for this condition [3]. Pathology It is characterised by transmural extension of placental tissue across the myometrium with serosal breach. Placenta invasion of the myometrium is related to a thinned decidual endometrium at the site of implantation and this can happen for a number of risk factors. Risk Factors Te risk factors of this condition are previous caesarean section, placenta previa, advanced maternal age, uterine anomalies, intrauterine adhesion bands, and other uterine and placental surgeries [4]. Diagnosis Placenta percreta is diagnosed by the radiological tests like ultrasound or magnetic resonance imaging (MRI), NT scans [5]. Figure 1: NT scan of 21 year old female patient pain in abdomen at right lower side on and of for one day, pain over the previous scar site of caesarean delivery. Case Study A 21-year-old female patient was admitted in hospital with chief complaints of pain in abdomen at right lower side on and of for one day, pain over the previous scar site of caesarean delivery, she was assessed as G3P2L1A0D1 with 33 weeks period of gestation with 2 LSCS, scar tenderness. Te doctor afer conducting NT scan diagnosed as placenta percreta and with partial cystectomy. Te advised treatment is hysterectomy (Figure 1). Jo u r n a l o f P h a r m a c e u ti c a l C a r e & H e a l t h S y st e m s ISSN: 2376-0419 Journal of Pharmaceutical Care & Health Systems Aravind et al., J Pharma Care Health Sys 2018, 5:2 DOI: 10.4172/2376-0419.1000191 Case Study Open Access J Pharma Care Health Sys, an open access journal ISSN: 2376-0419 Volume 5 • Issue 2 • 191