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  • Title: [Placenta previa percreta with bladder involvement managed conservatively--case report].
    Author: Breborowicz GH, Markwitz W, Ropacka-Lesiak M, Gaca M, Nowakowski P, Gruca-Stryjak K, Kruszyński G.
    Journal: Ginekol Pol; 2010 Nov; 81(11):865-9. PubMed ID: 21365905.
    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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