title: Placenta percreta with bladder invasion. A plea for multidisciplinary approach.
abstract: Placenta previa percreta with the urinary bladder invasion is a rare but potentially lethal condition. It has an increasing clinical significance due to its association with previous cesarean sections and uterine curettage. Herein, we report on a patient with placenta percreta and bladder invasion, who presented with hematuria and in whom delivery was delayed to almost full term highlighting the potential catastrophic results and the need for a multidisciplinary approach with the need to involve surgeons who are familiar with vascular and urologic surgery. We also present an elegant MRI of placenta percreta invading the urinary bladder, which shows that MRI is potentially an excellent diagnostic modality in this difficult condition.
authors.affiliation: Department of Urology, Dubai Hospital, Dubai, United Arab Emirates.
authors.forename: Fahmy M I
authors.initials: FM
authors.lastname: Shawish
authors.forename: Fayez T
authors.initials: FT
authors.lastname: Hammad
authors.forename: Essa M
authors.initials: EM
authors.lastname: Kazim
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D010921:Placenta Accreta / Q000175:diagnosis*; D011247:Pregnancy; D001745:Urinary Bladder Diseases / Q000175:diagnosis* / Q000209:etiology*