[Conservative management of placenta percreta invading the bladder: be patient].
We report a case of placenta percreta with bladder invasion in a multiparous woman with five previous cesarean sections. At 25 weeks of gestation, because of severe hematuria, antenatal diagnosis was easy. A multidisciplinary management was carried out with conservative treatment. Three repeated artery embolizations were necessary because of placenta volume and collateral vessels. None surgical treatment was realized to avoid hemorrhage and morbidity secondary to hysterectomy and partial cystectomy.
Service gynécologie-obstétrique, hôpital Mère-Enfant, 8, avenue Dominique-Larrey, 87000 Limoges, France. gauthiertristan@yahoo.fr
T
T
Gauthier
A
A
Garuchet-Bigot
M
M
Benacquista
I
I
Odin
E
E
Decroisette
A
A
Vincelot
N
N
Nathan-Denizot
A
A
Maubon
Y
Y
Aubard
D000328:Adult; D004621:Embolization, Therapeutic; D005260:Female; D005865:Gestational Age; D006417:Hematuria; D006801:Humans; D008279:Magnetic Resonance Imaging; D010921:Placenta Accreta / Q000175:diagnosis / Q000473:pathology* / Q000628:therapy*; D011247:Pregnancy; D001743:Urinary Bladder / Q000473:pathology*