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Argon beam coagulation facilitates management of placenta percreta with bladder invasion
Amer K Karam1, Robert E Bristow, Jessica Bienstock
1Department of Gynecology and Obstetrics, The Johns Hopkins Hospital and Medical Institutions, Baltimore, Maryland 21287, USA. akaram1@jhmi.edu
Background:
Placenta percreta with bladder invasion is a rare but potentially lethal complication of pregnancy.
Case:
A multigravida, with a history of two prior cesarean deliveries, presented with complaints of heavy vaginal bleeding near term. She had been previously diagnosed with an anterior placenta previa. A placenta percreta with bladder invasion was confirmed on cystoscopy. The patient underwent a successful cesarean hysterectomy using the argon beam coagulator.
Conclusion:
Argon beam coagulation may successfully help manage placenta percreta with bladder invasion while minimizing blood loss.