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Placenta percreta invading the bladder: report of 2 cases
1Urology Service, Mount Sinai Hospital, Toronto, Ontario, Canada.
The Journal of Urology
|April 1, 1989
Summary
This study details two placenta percreta cases invading the bladder, causing severe hemorrhage during cesarean delivery. Successful management involved hysterectomy and vessel ligation, preventing maternal or fetal death.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Surgical Oncology
Background:
- Placenta percreta is a rare but serious obstetric complication.
- Invasion into adjacent organs, such as the bladder, significantly increases surgical complexity and risks.
Observation:
- Two cases of placenta percreta involving bladder invasion are presented.
- Massive hemorrhage occurred during cesarean section in both instances.
Findings:
- Hemorrhage was controlled using a combination of hysterectomy, bilateral internal iliac artery ligation, and suture ligation of bleeding vessels.
- Successful bladder repair was performed.
Implications:
- This multidisciplinary approach can effectively manage severe hemorrhage from placenta percreta with bladder invasion.
- Zero maternal and fetal mortality highlights the efficacy of timely and aggressive surgical intervention.