ArticleCureus2025
Against All Odds: Treating Septic Shock and Massive Hemorrhage in a Patient With Placenta Accreta.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Placenta accreta spectrum (PAS), maternal sepsis, and hemorrhagic shock remain significant contributors to maternal morbidity and mortality. We present the case of a 36-year-old female with placenta accreta and preterm premature rupture of membranes (PPROM) who developed septic shock and underwent an emergent cesarean hysterectomy at 28 weeks of gestation. Her intraoperative course was complicated by massive hemorrhage with an estimated blood loss of 40 liters, cardiac arrest, and disseminated intravascular coagulation (DIC). Return of spontaneous circulation was achieved, and she underwent extensive surgical intervention followed by recovery in the ICU. This report underscores the vital importance of early recognition, aggressive resuscitation, and multidisciplinary coordination in managing patients with PAS, particularly when complicated by multifactorial shock. It also highlights the need for institutional readiness and improved sepsis screening tools tailored to the unique physiology of pregnancy.
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