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Placenta Percreta Presenting with Delayed Haematuria

Vinayak Gorakhanath Wagaskar1, Sudarshan Omprakash Daga1, Sujata Kiran Patwardhan2

  • 1Resident, Department of Urology, King's Edward Memorial Hospital and S.G.S. Medical College , Mumbai, India .

Journal of Clinical and Diagnostic Research : JCDR
|January 28, 2016
PubMed

Placenta percreta presents as life threatening complications with bladder invasion. A condition of placenta invading urinary bladder presented with differential diagnosis of gestational trophoblastic neoplasia on imaging and responded to chemotherapy. A 35-year-old primi-gravida presented at term with per vaginal bleeding. During caesarian section placental mass totally invading uterine myometrium was found. She was given single dose of Methotrexate. After 2 months she presented with gross haematuria with clot retention two times. Her MRI was suggestive of gestational trophoblastic neoplasia of size 19 X 10 X 13cm. Her beta-Human Chorionic Gonadotropin levels were 691.23 mIU/ml. She was given total four doses of methotrexate. At present size of mass was 1.6 X1.3X 1.1cm. Her beta Human Chorionic Gonadotropin level dropped down to 2mIU/ml. Patient was not willing for further intervention or for follow up.

Keywords:
Bladder invasionHysterectomyMass methotrexatePlacenta percreta

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