title: [Placenta previa percreta with bladder involvement managed conservatively--case report].
abstract: Placenta percreta is potentially a life-threatening condition. Pelvic organ invasion of the placenta carries high mortality and morbidity to the mother and fetus. We present a 33 year old gravida 3, para 2-0-0 female with placenta previa, percreta with bladder invasion. Placental invasion caused a giant vesicouterine fistula. The pregnant woman was managed conservatively until 33 weeks gestation, at which time she underwent a classical cesarean section. Postoperatively the patient was treated with methotrexate. Immediately postpartum the placenta was left in situ and successfully removed transvaginally after 11 weeks postpartum.
authors.affiliation: Klinika Perinatologii i Ginekologii, Uniwersytet Medyczny w Poznaniu. gbrebor@gpsk.am.poznan.pl
authors.forename: Grzegorz H
authors.initials: GH
authors.lastname: Breborowicz
authors.forename: Wiesław
authors.initials: W
authors.lastname: Markwitz
authors.forename: Mariola
authors.initials: M
authors.lastname: Ropacka-Lesiak
authors.forename: Michał
authors.initials: M
authors.lastname: Gaca
authors.forename: Piotr
authors.initials: P
authors.lastname: Nowakowski
authors.forename: Karolina
authors.initials: K
authors.lastname: Gruca-Stryjak
authors.forename: Grzegorz
authors.initials: G
authors.lastname: Kruszyński
mesh_terms: D000328:Adult; D002585:Cesarean Section; D005260:Female; D006801:Humans; D008727:Methotrexate / Q000627:therapeutic use; D010923:Placenta Previa / Q000000981:diagnostic imaging* / Q000188:drug therapy*; D049590:Postpartum Period; D011247:Pregnancy; D011256:Pregnancy Outcome; D014463:Ultrasonography; D001745:Urinary Bladder Diseases / Q000188:drug therapy / Q000209:etiology; D001747:Urinary Bladder Fistula / Q000188:drug therapy* / Q000209:etiology*
chemical_list: D008727:Methotrexate