Serial magnetic resonance imaging of placenta percreta with bladder involvement during pregnancy and postpartum: a case report.
Whether to manage placenta previa percreta surgically or conservatively has been a controversial issue. A 30-year-old woman with placenta percreta with bladder involvement was treated conservatively. A planned cesarean section was performed at 33 weeks' gestation. A 1768-g female infant was delivered through a transverse fundal uterine incision with the placenta left inside the uterus. The following morning, a massive postpartum hemorrhage occurred, and was successfully treated with transarterial embolization. The placenta was never expelled and spontaneously disappeared 4 months after surgery. We demonstrate serial magnetic resonance imaging of the placenta percreta during pregnancy and the postpartum period.
Department of Gynecology and Obstetrics, Kyoto University, Kyoto, Japan.
Yusuke
Y
Ueda
Eiji
E
Kondoh
Kazuyo
K
Kakui
Junzo
J
Hamanishi
Masashi
M
Ueda
Ai
A
Nishikawa
Keiji
K
Tatsumi
Ikuo
I
Konishi
D000328:Adult; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008279:Magnetic Resonance Imaging; D010920:Placenta / Q000473:pathology / Q000601:surgery; D010921:Placenta Accreta / Q000473:pathology* / Q000601:surgery; D006473:Postpartum Hemorrhage / Q000473:pathology / Q000601:surgery / Q000628:therapy*; D049590:Postpartum Period; D011247:Pregnancy; D001743:Urinary Bladder / Q000473:pathology* / Q000601:surgery