title: Argon beam coagulation facilitates management of placenta percreta with bladder invasion.
abstract: BACKGROUND
  Placenta percreta with bladder invasion is a rare but potentially lethal complication of pregnancy.
  
  
  METHODS
  A multigravida, with a history of two prior cesarean deliveries, presented with complaints of heavy vaginal bleeding near term. She had been previously diagnosed with an anterior placenta previa. A placenta percreta with bladder invasion was confirmed on cystoscopy. The patient underwent a successful cesarean hysterectomy using the argon beam coagulator.
  
  
  CONCLUSIONS
  Argon beam coagulation may successfully help manage placenta percreta with bladder invasion while minimizing blood loss.
authors.affiliation: Department of Gynecology and Obstetrics, The Johns Hopkins Hospital and Medical Institutions, Baltimore, Maryland 21287, USA. akaram1@jhmi.edu
authors.forename: Amer K
authors.initials: AK
authors.lastname: Karam
authors.forename: Robert E
authors.initials: RE
authors.lastname: Bristow
authors.forename: Jessica
authors.initials: J
authors.lastname: Bienstock
authors.forename: Frederick J
authors.initials: FJ
authors.lastname: Montz
mesh_terms: D000328:Adult; D001128:Argon; D002585:Cesarean Section / Q000379:methods; D003131:Combined Modality Therapy; D003558:Cystoscopy / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D005865:Gestational Age; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D017075:Laser Coagulation / Q000379:methods*; D010298:Parity; D010921:Placenta Accreta / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011247:Pregnancy; D011256:Pregnancy Outcome; D014463:Ultrasonography; D001745:Urinary Bladder Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D014592:Uterine Hemorrhage / Q000175:diagnosis / Q000209:etiology
chemical_list: D001128:Argon