{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T11:32:14Z","timestamp":1777289534261,"version":"3.51.4"},"reference-count":0,"publisher":"Vilnius University Press","issue":"4","license":[{"start":{"date-parts":[[2017,1,11]],"date-time":"2017-01-11T00:00:00Z","timestamp":1484092800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AML"],"abstract":"<jats:p>Background. Placenta percreta is a\u00a0very rare, but extremely life-threatening obstetrical pathology for the\u00a0mother and the\u00a0child, especially in the\u00a0cases when it is not diagnosed before the\u00a0birth and when it results in massive bleeding and a\u00a0dramatic deterioration of condition. It is extremely important to diagnose this pathology as early as possible and plan further optimal care of patients in order to minimize life-threatening complications.\n Case report. The\u00a0paper presents an illustrated clinical case of placenta percreta determined before the\u00a0birth. Features of visual diagnostics are discussed.\n A 32-year-old pregnant woman with a\u00a0history of two caesarean deliveries arrived at the\u00a0tertiary level hospital at 22 weeks of gestation due to abdomen pain. Placenta previa was diagnosed and ultrasound, magnetic resonance imaging suggesting placenta percreta were seen. On the\u00a0 32nd week, the\u00a0 planned caesarean hysterectomy was performed. The\u00a0balloon catheters to occlude the\u00a0internal iliac arteries and minimize bleeding during the\u00a0surgery were used.\n Conclusions. Antenatal diagnosis of placenta percreta is especially important. Methods of visual diagnostics are complementary. The\u00a0optimal surgical approach during caesarean hysterectomy remains controversial. In the\u00a0case of the\u00a0slow oozing without a\u00a0clearly identified source of bleeding after hysterectomy and internal iliac arteries balloons deflation, ligation of one of the\u00a0internal iliac arteriescan be reasonable to avoid residual haemorrhage and relaparotomy.<\/jats:p>","DOI":"10.6001\/actamedica.v23i4.3423","type":"journal-article","created":{"date-parts":[[2017,1,11]],"date-time":"2017-01-11T14:05:11Z","timestamp":1484143511000},"page":"219-226","source":"Crossref","is-referenced-by-count":3,"title":["Antenatal diagnostic aspects of placenta percreta and its influence on the perinatal outcome: a\u00a0clinical case and literature review"],"prefix":"10.15388","volume":"23","author":[{"given":"Jelena","family":"Volochovi\u010d","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diana","family":"Rama\u0161auskait\u0117","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramun\u0117","family":"\u0160imkevi\u010di\u016bt\u0117","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"6097","published-online":{"date-parts":[[2017,1,11]]},"container-title":["Acta medica Lituanica"],"original-title":[],"link":[{"URL":"https:\/\/www.journals.vu.lt\/AML\/article\/download\/21431\/20536","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.journals.vu.lt\/AML\/article\/download\/21431\/20536","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,7]],"date-time":"2021-01-07T06:18:02Z","timestamp":1610000282000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.journals.vu.lt\/AML\/article\/view\/21431"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1,11]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2017,1,11]]}},"URL":"https:\/\/doi.org\/10.6001\/actamedica.v23i4.3423","relation":{},"ISSN":["2029-4174","1392-0138"],"issn-type":[{"value":"2029-4174","type":"electronic"},{"value":"1392-0138","type":"print"}],"subject":[],"published":{"date-parts":[[2017,1,11]]}}}