title: A multidisciplinary approach to surgical management of placenta previa percreta with bladder invasion: a case report.
abstract: Placenta previa percreta with bladder invasion occurs rarely. However this disorder has become more common since the increased rate of cesarean deliveries. We present a 26 year old gravida 3, para 2-0-1-2 female with placenta previa, percreta and bladder invasion to stress out the importance of early recognition of this life threatening condition and to point out that the good outcome of this case was mainly due to the multidisciplinary approach chosen during the preoperative and post operative management. The Departments of Obstetrics and Gynecology, Radiology, Anesthesiology, Urology, Neonatology and Pathology were fully involved. A surgical management was chosen since it is the most common and more accepted treatment of placenta previa percreta with bladder invasion.
authors.affiliation: Department of Obstetrics and Gynecology, San Juan City Hospital.
authors.forename: David
authors.initials: D
authors.lastname: Aguirre
authors.forename: David
authors.initials: D
authors.lastname: Caiseda
authors.forename: María
authors.initials: M
authors.lastname: Correa-Rivas
authors.forename: María
authors.initials: M
authors.lastname: Maldonado
authors.forename: Wilma
authors.initials: W
authors.lastname: Rodríguez
authors.forename: Gabriel
authors.initials: G
authors.lastname: Miranda
authors.forename: Amneris
authors.initials: A
authors.lastname: Lugo
authors.forename: Jorge
authors.initials: J
authors.lastname: Gandia
mesh_terms: D000328:Adult; D001034:Apgar Score; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007231:Infant, Newborn; D010921:Placenta Accreta / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D010923:Placenta Previa / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D011247:Pregnancy; D011256:Pregnancy Outcome; D011295:Prenatal Care; D018615:Ultrasonography, Doppler, Color; D001743:Urinary Bladder / Q000601:surgery; D001745:Urinary Bladder Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*