The treatment of placenta percreta is one of the most dif- ficult procedures in perinatal medicine because of the risk of intraoperative massive hemorrhage. Abnormal placental adherence occurs after defective decidual for-mation. In rare cases, the placenta remains unusually ad- herent to the implantation site, with scanty or absent de- ciduas, due to the fact that the physiological line of clea- vage through the decidual spongy layer is lacking.
Here, we report our experience of cesarean hysterec- tomy using bilateral internal iliac artery balloon catheter occlusion in a patient with placenta previa percreta, avoiding catastrophic hemorrhage and leading to good clinical outcome.