Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 26, 2023; 11(36): 8574-8580
Published online Dec 26, 2023. doi: 10.12998/wjcc.v11.i36.8574
Balloon displacement during caesarean section with pernicious placenta previa: A case report
Deng-Feng Gu, Chao Deng
Deng-Feng Gu, Chao Deng, Department of Anesthesiology, The First Affiliated Hospital of Shihezi University, Shihezi 832000, Xinjiang Uighur Autonomous Region, China
Author contributions: Gu DF contributed to manuscript writing and editing, Deng C contributed to conceptualization and supervision; all authors have read and approved the final manuscript.
Supported by Curriculum Case Base Construction Project of the First Affiliated Hospital of Xinjiang Shihezi University, No. 2021Y-AL15.
Informed consent statement: Informed consent was obtained from the patients for publication of this case report details.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Chao Deng, MM, Chief Physician, Doctor, Department of Anesthesiology, the First Affiliated Hospital of Shihezi University, No. 107 North Second Road, Shihezi 832000, Xinjiang Uighur Autonomous Region, China. 1452793572@qq.com
Received: October 17, 2023
Peer-review started: October 17, 2023
First decision: November 20, 2023
Revised: November 26, 2023
Accepted: December 15, 2023
Article in press: December 15, 2023
Published online: December 26, 2023
Processing time: 65 Days and 16.2 Hours
Abstract
BACKGROUND

For the past few years, preventive interventional therapy has been widely used domestically and overseas, bringing great benefits to pregnant women at high-risk for complications, such as pernicious placenta previa (PPP) and placenta accreta. Nevertheless, there are still few reports on surgical complications related to interventional therapy, and its safety should be a concern.

CASE SUMMARY

We report a 36-year-old pregnant woman with PPP who underwent balloon implantation in the lower segment of the abdominal aorta before caesarean section. However, the balloon shifted during the operation, which damaged the arterial vessels after filling, resulting in severe postpartum haemorrhage in the patient. Fortunately, after emergency interventional stent implantation, the patient was successfully relieved of the massive haemorrhage crisis.

CONCLUSION

It seems that massive postoperative bleeding has been largely avoided in preventive interventional therapy in high-risk pregnant women with placenta-related diseases, but surgical complications related to intervention therapy can also cause adverse consequences. It is equally important for clinical doctors to learn how to promptly identify and effectively treat these rare complications.

Keywords: Pernicious placenta previa; Caesarean section; Abdominal aortic balloon; Case report

Core Tip: It is well known that postpartum haemorrhage is one of the most serious complications in malignant placenta previa caesarean section, and it is also the most concerning problem for medical staff. Currently, preventive interventional therapy has been able to prevent postpartum haemorrhage to a large extent, but its surgical complications need to be acknowledged, given that they are often overlooked. This article introduces a case of adverse consequences caused by a interventional therapy complication to provide some information for medical staff's clinical work.