title: Anaesthesia for caesarean hysterectomy in a patient with a preoperative diagnosis of placenta percreta with invasion of the urinary bladder.
abstract: OBJECTIVE
  Placenta Percreta with invasion of the urinary bladder is a rare condition, which carries a high morbidity and mortality risk for mother and fetus. We present a case which illustrates some of the complexities of perioperative management.
  
  
  RESULTS
  Anaesthetic considerations include those of the pregnant patient and fetus, potential need for massive transfusion, and possible development of coagulopathy. Ideally, these cases should be diagnosed early enough in pregnancy to allow a multidisciplinary team approach to the management of mother and fetus.
  
  
  CONCLUSIONS
  The perioperative care of a patient with placenta previa is complicated but, with a multidisciplinary approach, may be successful.
authors.affiliation: SMBD-Jewish General Hospital, Department of Anaesthesia, Montreal, Quebec, Canada.
authors.forename: T
authors.initials: T
authors.lastname: Hunter
authors.forename: S
authors.initials: S
authors.lastname: Kleiman
mesh_terms: D000328:Adult; D000768:Anesthesia, General; D000773:Anesthesia, Obstetrical; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D010921:Placenta Accreta / Q000473:pathology / Q000601:surgery*; D011247:Pregnancy; D001743:Urinary Bladder / Q000473:pathology*