Placenta percreta with bladder invasion: A case report

Osmanagaoglu M., Osmanagaoglu S., Bozkaya H.

GEBURTSHILFE UND FRAUENHEILKUNDE, vol.64, no.10, pp.1109-1111, 2004 (SCI-Expanded, Scopus)

  • Publication Type: Article / Article
  • Volume: 64 Issue: 10
  • Publication Date: 2004
  • Doi Number: 10.1055/s-2004-821300
  • Journal Name: GEBURTSHILFE UND FRAUENHEILKUNDE
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.1109-1111
  • Karadeniz Technical University Affiliated: Yes

Abstract

Placenta previa percreta with bladder invasion is associated with a rare but serious risk of maternal hemorrhage. We present the case of a 37-year-old woman with placenta previa percreta invading the urinary bladder. A cesarean operation with supracervical hysterectomy, partial excision of the bladder and bilateral hypogastric artery ligation was carried out in the 36th week of pregnancy. A part of the placenta was excised manually and the remaining placenta was left in situ. The beta-hCG level was not measurable at 60 days postoperatively. if a multipara with a history of cesarean section and placenta previa presents with hematuria, the possibility of placental invasion of the bladder should be considered.

Placenta previa percreta with bladder invasion is associated with a rare but serious risk of maternal hemorrhage. We present the case of a 37-year-old woman with placenta previa percreta invading the urinary bladder. A cesarean operation with supracervical hysterectomy, partial excision of the bladder and bilateral hypogastric artery ligation was carried out in the 36th week of pregnancy. A part of the placenta was excised manually and the remaining placenta was left in situ. The beta-hCG level was not measurable at 60 days postoperatively. if a multipara with a history of cesarean section and placenta previa presents with hematuria, the possibility of placental invasion of the bladder should be considered.