title: Placenta percreta with bladder invasion: report of three cases.
abstract: Three cases are reported of placenta percreta with urinary bladder wall invasion. All three patients had complete placenta previa and each had five previous cesarean sections. Placental invasion caused a giant vesicouterine fistula in the first case. The second patient had a cesarean hysterectomy and the placental portion that penetrated the bladder wall was left to absorb spontaneously. The third patient underwent a cesarean supracervical hysterectomy during which the bladder invasion was left undisturbed. She received intraoperative methotrexate, and pelvic packing and bilateral hypogastric ligation were helpful in hemorrhage control.
authors.affiliation: Department of Obstetrics and Gynecology, King Faisal Specialist Hospital and Research Centre, Riyadh, Kingdom of Saudi Arabia.
authors.forename: Y N
authors.initials: YN
authors.lastname: Bakri
authors.forename: T
authors.initials: T
authors.lastname: Sundin
authors.forename: M
authors.initials: M
authors.lastname: Mansi
authors.forename: K
authors.initials: K
authors.lastname: Jaroudi
mesh_terms: D000328:Adult; D005260:Female; D005402:Fistula / Q000209:etiology; D006801:Humans; D010921:Placenta Accreta / Q000150:complications / Q000473:pathology*; D011247:Pregnancy; D001743:Urinary Bladder / Q000473:pathology*; D001747:Urinary Bladder Fistula / Q000209:etiology; D014591:Uterine Diseases / Q000209:etiology