Placenta Percreta with Urinary Bladder Infiltration: A Modified Posterior Approach - A Case Report and Lessons Learnt
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 6, Issue 3
Abstract
Placenta percreta can be one of the life-threatening obstetric emergencies. Placenta percreta involving the urinary bladder is one of the acute obstetric conditions where the urologist plays a major role in stabilizing the general condition of the patient. In this case report, we present a case of a 28-year-old female, who had a premature delivery at 32 weeks of gestation. This patient continued to have persistent bleeding per vaginum and had frank hematuria, which did not settle down with bladder wash and other forms of conservative management. A modified posterior approach hysterectomy and a partial cystectomy along with the residual placental mass were carried out, following which the mother and the child were stable. The purpose of this manuscript is to highlight the rarity of such a condition and also to stress on the fact that one should be vigilant in having a high index of clinical suspicion in anticipating profuse bleeding following a delivery. Prompt diagnosis and a proactive approach would enable an appropriate treatment for this, otherwise, potentially lethal disease.
Authors and Affiliations
P Dhinaharan, Sriram Krishnamoorthy, M G Rajamanickam, Suresh Kumar Reddy, Rekha Pargal
Keywords
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