Argon beam coagulation facilitates management of placenta percreta with bladder invasion.
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.
Karam
Amer K
AK
Department of Gynecology and Obstetrics, The Johns Hopkins Hospital and Medical Institutions, Baltimore, Maryland 21287, USA. akaram1@jhmi.edu
Bristow
Robert E
RE
Bienstock
Jessica
J
Montz
Frederick J
FJ
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
D001128:Argon