Related Experiment Videos
Placenta previa percreta with urinary bladder and ureter invasion
E Caliskan1, O Tan, V Kurtaran
1SSK Ankara Maternity and Women's Health Teaching Hospital, 06660 Kucukesat Ankara, Turkey. eray68@hotmail.com
Archives of Gynecology and Obstetrics
|September 25, 2003
Summary
A rare case of placenta previa percreta invading the bladder and ureter required complex surgical intervention. Successful ureteroneocystostomy ensured a positive outcome for the patient with placenta percreta.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Surgical Urology
Background:
- Placenta previa percreta, a rare condition, poses significant risks during pregnancy.
- Previous uterine surgeries increase the likelihood of placenta accreta spectrum disorders.
Observation:
- A 26-year-old woman with a history of cesarean delivery and curettage presented with partial placenta previa.
- Profuse bleeding during a repeat cesarean section indicated placenta previa percreta invading the bladder trigone.
Findings:
- Despite bilateral hypogastric artery ligation and supracervical hysterectomy, bleeding persisted.
- Postoperative evaluation revealed placental invasion of the distal left ureter, necessitating ureteroneocystostomy.
Implications:
- This case highlights the critical need for multidisciplinary management in complex placenta previa percreta cases.
- Successful ureteroneocystostomy can be a life-saving procedure in managing ureteral complications of placenta percreta.