title: Placenta percreta invading the bladder causing exsanguinating hemorrhage.
abstract: We report a case of placenta percreta invading the urinary bladder that presented as gross hematuria. The patient had normal cystoscopic findings initially and other radiological investigations were reported as normal. However, she had catastrophic second hemorrhage and in spite of bilateral internal iliac artery ligation, hysterectomy and bladder closure with resuscitative measures, she could not be saved.
authors.affiliation: Department of Urology, Army Hospital (R&R) Delhi, India.
authors.forename: S V
authors.initials: SV
authors.lastname: Kotwal
authors.forename: N
authors.initials: N
authors.lastname: Srinath
authors.forename: R
authors.initials: R
authors.lastname: Sood
authors.forename: R C
authors.initials: RC
authors.lastname: Behra
mesh_terms: D000328:Adult; D002585:Cesarean Section; D003558:Cystoscopy; D017809:Fatal Outcome; D005260:Female; D006417:Hematuria / Q000209:etiology*; D006801:Humans; D010922:Placenta Diseases / Q000150:complications* / Q000175:diagnosis; D011183:Postoperative Complications; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D001743:Urinary Bladder / Q000473:pathology*