38 week pregnant was admitted to the hospital by ambulance with abdominal pain and bleeding. After evaluating the condition, the patient was transferred to the obstetric-gynecological department, where a cesarean section was performed. During the operation term baby was delivered, with weight 3,200 and 50 cm in length without asphyxia. During an attempt to remove the placenta, excessive bleeding from the placental bad began. We had a very rare pathology – placental deep penetration into the uterine wall, which in obstetrics is called “Placenta increta” . Massive blood loss protocol was activated, conservative management was unsuccessful and due to the amount of bleeding and the degree of damage to the uterus, decision of uterine removal was made.

Despite the complicated condition, the patient was stable during the operation, transfusion of blood components was timely and intraoperative. After the surgery, the patient was transferred to critical care unit of our clinic, where the multidisciplinary team successfully managed the condition after massive blood loss. After intensive therapy, the patient’s condition improved significantly within 48 hours and was transferred to the obstetric-gynecological department. In just a few days, the mother and baby were discharged home in satisfactory condition.