open access

Vol 81, No 11 (2010)
ARTICLES
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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).

open access

Vol 81, No 11 (2010)
ARTICLES

Abstract

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.

Abstract

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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Keywords

Placenta Previa, placenta percreta, conservative management, Urinary bladder

About this article
Title

Placenta previa percreta with bladder involvement managed conservatively – case report

Journal

Ginekologia Polska

Issue

Vol 81, No 11 (2010)

Bibliographic record

Ginekol Pol 2010;81(11).

Keywords

Placenta Previa
placenta percreta
conservative management
Urinary bladder

Authors

Karolina Gruca-Stryjak
Grzegorz Kruszyński
Piotr Nowakowski
Michał Gaca
Mariola Ropacka-Lesiak
Wiesław Markwitz
Grzegorz H. Bręborowicz

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