Augmentation cystoplasty after cesarean hysterectomy for placenta previa-percreta.
We report a case of a 38-year old woman with placenta previa-percreta and urinary bladder invasion. Resection of the bladder wall during cesarean hysterectomy was complicated by a postoperative vesico-vaginal fistula and small-capacity bladder. A reconstructive augmentation cystoplasty utilizing the ileum was successful in improving the bladder capacity. To our knowledge, this is the first report of a placenta previa-percreta with bladder wall invasion which required reconstructive augmentation cystoplasty after cesarean hysterectomy. The obstetrician-gynecologist should be aware of reports of complications related to augmentation procedures, including late malignancy which may develop in the bowel segment used for cystoplasty.
Bakri
Y N
YN
USD School of Medicine, Dept of Obstetrics and Gynecology, Sioux Falls, USA.
Sundin
T
T
Mansi
M
M
Petterson
B
B
D000328:Adult; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007044:Hysterectomy; D010921:Placenta Accreta / Q000601:surgery*; D010923:Placenta Previa / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery; D011247:Pregnancy; D016476:Urinary Reservoirs, Continent; D014719:Vesicovaginal Fistula / Q000209:etiology / Q000601:surgery