No abstract

The placental acretism, defined as the abnormal insertion of chorionic villi in the myometrium, is one of the main causes of maternal mortality. The key of the progress in the maternal-foetal results is the prenatal diagnostic, which is based fundamentally on the ultrasound scan, to perform a multidisciplinary programming of the treatment, conservative or surgical. We present a case study of a pregnant woman in which conservative treatment was performed initially with embolization of hypogastric arteries, leaving the placenta in situ after delivery, but that 5 weeks later the patient needed hysterectomy for sepsis due to necrosis tissue placenta.