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Related Experiment Videos

Placenta percreta with urinary bladder involvement.

Eftekhar H Al-Ojaimi1, Balameenakshi V Subramaniam

  • 1Department of Obstetrics and Gynecology, Salmaniya Medical Complex, Ministry of Health, manama, Bahrain. eftekharojaimi15@hotmail.com

Saudi Medical Journal
|April 15, 2004
PubMed
Summary
This summary is machine-generated.

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A pregnant patient with placenta previa experienced severe bleeding, requiring an emergency cesarean delivery and hysterectomy due to placenta percreta invading the bladder. This case highlights the critical management of morbidly adherent placenta complications.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine

Background:

  • Placenta previa, a condition where the placenta covers the cervix, can lead to severe antepartum hemorrhage.
  • Morbidly adherent placenta, including placenta percreta, poses significant risks during delivery, often necessitating hysterectomy.
  • Previous uterine surgeries like cesarean delivery and curettage increase the risk of placenta accreta spectrum disorders.

Observation:

  • A 37-year-old woman at 29 weeks gestation presented with sudden, painless vaginal bleeding due to diagnosed placenta previa.
  • An emergency cesarean section was performed, resulting in the delivery of a live infant.
  • The placenta was found to be morbidly adherent to the lower uterine segment, causing torrential bleeding upon attempted removal.

Findings:

  • Cesarean hysterectomy was required due to uncontrollable hemorrhage from the morbidly adherent placenta.

Related Experiment Videos

  • Placenta percreta involving the urinary bladder was diagnosed after unsuccessful attempts at dissection.
  • A modified posterior approach to hysterectomy was successfully employed, leading to good patient recovery.

    • Implications:

    • This case underscores the importance of early diagnosis and multidisciplinary management of placenta previa with suspected morbidly adherent placenta.
    • Surgical planning and technique are crucial in managing placenta percreta with bladder involvement to minimize maternal morbidity.
    • Effective management strategies, including modified surgical approaches, can lead to favorable outcomes even in complex cases of placenta percreta.