Conservative management of a case of placenta praevia percreta.
Pregnancies complicated by placenta praevia and a history of caesarean section are associated with increased risk of placenta percreta (1). Placenta praevia percreta sometimes involves the bladder or other pelvic organ, invasion leading to genital bleeding or haematuria (2, 3). Bladder injury or uncontrollable profuse haemorrhage occasionally occurs in such patients during surgery. Examination of placental invasion is necessary as this clinical condition is severe. Treatment of placental myometrium invasion is required to prevent uncontrollable profuse haemorrhage during surgery. We present a multiparous patient who was diagnosed prenatally with placenta praevia percreta using magnetic resonance imaging (MRI) and who was treated conservatively with a good prognosis.
Otsubo
Y
Y
Department of Obstetrics and Gynaecology, Omiya Chuo Sogo Hospital, Omiya-shi, Saitama, Japan.
Shinagawa
T
T
Chihara
H
H
Araki
T
T
D000328:Adult; D002114:Calcinosis; D002585:Cesarean Section; D003475:Curettage; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D010923:Placenta Previa / Q000628:therapy*; D011247:Pregnancy; D014599:Uterus / Q000473:pathology