Summary
The placenta accreta spectrum is a major cause of obstetric hemorrhage, frequently associated with massive transfusion and admission to the intensive care unit (ICU). Although cesarean hysterectomy is the standard, conservative strategies have emerged in selected patients. We present a case managed with segmental uterine resection and selective vascular control, achieving hemorrhagic control without hysterectomy. The patient required admission to the ICU for hemodynamic monitoring and transfusion support. Evidence suggests that these approaches may reduce blood loss in selected cases, although limitations and risk of conversion remain. Uterine preservation is feasible, but high-risk, and requires multidisciplinary management and intensive care support.
José Pavel Zatarain-Mendivil, Francisco Javier Castro-Apodaca, Jennifer Peña-Borrego, Humberto Obeso-Espinoza, Luis Alfredo Garay-Vizcarr, Jesus Eduardo Angulo-Ibarra, Ubaldo Iñiguez-Abitia, Adriana Citlalli Ramirez-Medina, Juan Pablo Espinosa-Rosas, Juan José Magaña-Castro, Amairani Del Rosario Urbina-Soto, Cynthia Elizabeth Rodríguez-Vivas, Miroslava Ávila-Valdivia, Nancy Godoy-Rodríguez, Vianey Soto-Correa, Joel Murillo-Llanes
