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Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
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Placenta Percreta With Invasion into the Urinary Bladder

Zachary L Smith1, Shailen S Sehgal1, Keith N Van Arsdalen1

  • 1Division of Urology, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.

Urology Case Reports
|March 9, 2016
PubMed

Placenta percreta is a rare condition, which can lead to significant morbidity and potentially mortality. We present a case of a 38-year-old woman who presented at 24 weeks gestation with vaginal bleeding and was found to have complete placenta previa with placenta percreta invading the urinary bladder. Her hospital course was complicated by bilateral pulmonary emboli. She underwent an exploratory laparotomy, repeat Caesarean section, and total abdominal hysterectomy. Because of placental invasion into the bladder, the procedure was complicated by bladder and ureteral injuries for which urology carried out repair. Postoperatively, the patient had a persistent bladder leak until postoperative day #39.

Keywords:
BladderCystorrhaphyPlacenta percretaPlacenta previaReconstruction

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