Placenta previa percreta with bladder involvement managed conservatively - case report

被引:0
作者
Grzegorz H, Breborowicz [1 ]
Markwitz, Wieslaw [1 ]
Ropacka-Lesiak, Mariola [1 ]
Gaca, Michal [2 ]
Nowakowski, Piotr [3 ]
Gruca-Stryjak, Karolina [1 ]
Kruszynski, Grzegorz [1 ]
机构
[1] Uniwersytet Med, Klin Perinatol & Ginekol, PL-60535 Poznan, Poland
[2] Uniwersytet Med, Klin Anestezjol Poloznictwie & Ginekol, PL-60535 Poznan, Poland
[3] Szpital Swietej Rodziny, Oddzial Urol, Poznan, Poland
关键词
placenta previa; placenta percreta; conservative management; urinary bladder; METHOTREXATE TREATMENT; INVASION; FAILURE; HEMORRHAGE; DIAGNOSIS; SURGERY; THERAPY; MRI;
D O I
暂无
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
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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收藏
页码:865 / 869
页数:5
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