Placenta previa percreta with bladder invasion

Obstet Gynecol. 1997 May;89(5 Pt 2):834-5. doi: 10.1016/s0029-7844(97)81425-1.

Abstract

Background: Although the clinical presentation and imaging techniques can raise suspicion for placenta previa percreta, this potentially catastrophic condition may remain undiagnosed or its extent underappreciated until delivery. The decision to proceed with definitive surgery in cases of placenta previa percreta should be carefully considered.

Case: A case of placenta previa percreta with bladder invasion was diagnosed prenatally. This case illustrates the magnitude of complications that can arise despite aggressive multidisciplinary perioperative management.

Conclusion: When possible, hysterectomy performed for placenta previa percreta is best avoided under anything other than ideal conditions. A multidisciplinary approach for preoperative, intraoperative, and postoperative management of placenta previa percreta optimizes maternal outcome.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cesarean Section
  • Cystectomy
  • Female
  • Humans
  • Hysterectomy
  • Placenta Accreta / complications*
  • Placenta Accreta / diagnostic imaging
  • Placenta Accreta / surgery
  • Placenta Previa / complications*
  • Placenta Previa / diagnostic imaging
  • Placenta Previa / surgery
  • Pregnancy
  • Ultrasonography, Prenatal
  • Urinary Bladder Diseases / etiology*