Vol 81, No 11 (2010)

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Placenta previa percreta with bladder involvement managed conservatively – case report

Karolina Gruca-Stryjak, Grzegorz Kruszyński, Piotr Nowakowski, Michał Gaca, Mariola Ropacka-Lesiak, Wiesław Markwitz, Grzegorz H. Bręborowicz
Ginekol Pol 2010;81(11).


Placenta percreta is potentially a life-threatening condition. Pelvic organ invasion of the placenta carries high mortality and morbidity to the mother and fetus. We present a 33 year old gravida 3, para 2-0-0 female with placenta previa, percreta with bladder invasion. Placental invasion caused a giant vesicouterine fistula. The pregnant woman was managed conservatively until 33 weeks gestation, at which time she underwent a classical cesarean section. Postoperatively the patient was treated with methotrexate. Immediately postpartum the placenta was left in situ and successfully removed transvaginally after 11 weeks postpartum.

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