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Placenta praevia percreta invading the urinary bladder
1Department of Obstetrics and Gynaecology, Flinders Medical Centre, South Australia.
The Australian & New Zealand Journal of Obstetrics & Gynaecology
|November 1, 1992
Summary
This case report details a successful management of placenta percreta invading the urinary bladder. A hysterectomy was performed postpartum after a Cesarean section, preserving bladder function.
Area of Science:
- Obstetrics and Gynecology
- Urogynecology
Background:
- Placenta percreta is a rare and dangerous condition where the placenta invades the uterine wall and potentially surrounding organs.
- Involvement of the urinary bladder presents significant surgical challenges.
Observation:
- A patient with placenta percreta involving the urinary bladder underwent a classical Cesarean section at 35 weeks' gestation.
- The placenta was intentionally left in situ after delivery.
Findings:
- An elective hysterectomy was successfully performed two weeks after the Cesarean section.
- This two-stage approach allowed for better surgical planning and execution.
Implications:
- This case highlights a viable conservative management strategy for placenta percreta involving the bladder.
- Delayed hysterectomy can be a safe and effective option, minimizing intraoperative complications.