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Related Experiment Videos

Placenta percreta invading the bladder causing exsanguinating hemorrhage.

S V Kotwal1, N Srinath, R Sood

  • 1Department of Urology, Army Hospital (R&R) Delhi, India.

International Urogynecology Journal and Pelvic Floor Dysfunction
|August 18, 1999
PubMed
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Placenta percreta invading the urinary bladder caused severe hematuria. Despite interventions like artery ligation and hysterectomy, the patient succumbed to a catastrophic hemorrhage, highlighting diagnostic and management challenges.

Area of Science:

  • Obstetrics and Gynecology
  • Urology
  • Pathology

Background:

  • Placenta percreta is a rare but life-threatening obstetric complication.
  • Urinary bladder invasion by placenta percreta presents unique diagnostic and management challenges.
  • Gross hematuria can be the sole presenting symptom.

Observation:

  • A case of placenta percreta with urinary bladder invasion presenting as gross hematuria.
  • Initial cystoscopy and radiological investigations were unremarkable.
  • The patient experienced a catastrophic secondary hemorrhage.

Findings:

  • Despite prompt and aggressive management including bilateral internal iliac artery ligation, hysterectomy, and bladder closure, the patient could not be saved.
  • The case underscores the potential for rapid deterioration and high mortality associated with placenta percreta invading pelvic organs.

Related Experiment Videos

  • Diagnostic delays or limitations in initial investigations can complicate management.

    • Implications:

    • This case highlights the critical need for heightened clinical suspicion in cases of unexplained gross hematuria during pregnancy, especially with a history suggestive of placenta accreta spectrum disorders.
    • Improved diagnostic modalities and multidisciplinary management strategies are essential for improving outcomes in placenta percreta with bladder invasion.
    • Further research into early detection and novel treatment approaches for placenta percreta invading adjacent organs is warranted.