On the Brink of the Abyss: Managing More Than 25 Liters of Blood Loss During a Cesarean Section.

We present a case of placenta percreta in which the patient experienced an intraoperative blood loss exceeding 25 liters. To our knowledge, this represents the highest volume of hemorrhage reported during cesarean section (CS) in which the patient survived. Injuries of the iliac vessels, urinary bladder, and ureter had to be dealt with intraoperatively. An infrarenal aortic clamp stemmed the bleeding. We discuss the challenges presented by such cases, personalized transfusion, and the controversies surrounding the current treatment strategies.