[Placenta percreta with bladder invasion. Case report].
We report a case of a 30-year-old woman, who had two previous caesarean sections, attended for the first time at 18 weeks of gestation. Pelvic ultrasonography and color Doppler imaging showed a placenta percreta invading the urinary bladder. A caesarean section was carried out at 27th week of gestation for preterm premature rupture of membranes. Placental tissue was firmly attached to the anterior surface of the bladder. A cesarean hysterectomy was performed with bilateral anterior internal iliac artery ligation before hysterectomy was finished. The bladder was repaired, leaving a suprapubic catheter.
Torres Gómez
Luis Guillermo
LG
Departamento de embarazo de alto riesgo, Unidad Médica de Alta Especialidad, Hospital de Gineco-Obstetricia, CMNO, IMSS. memotg1@cybercable.net.mx
Torres Farías
Emigdio
E
Rodríguez Sandoval
Rosa María
RM
D000328:Adult; D005260:Female; D006801:Humans; D010921:Placenta Accreta / Q000473:pathology*; D011247:Pregnancy; D001745:Urinary Bladder Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery