[Placenta percreta with invasion of the bladder, ureter and abdominal wall. Case report].
Placental acretism is the abnormal adherence beyond the underlying of the uterine muscle. The penetration of the serous is known as placenta percreta. The following is a clinical study of a 28 year old woman, who had undergone 2 previous C-Sections, who had been admitted to the hospital previously with ultrasounds suggestive of placental acretism. The magnetic resonance show with severe infiltration of the myometrium in the anterior and lateral right, extending until the mesentery of the abdomen, top of the bladder and the proximal portion of the urethra as well as the soft tissue of the perinea. Cesarean section was performed at 35 weeks of gestation, once the complete protocol of the placenta previa, had been completed. The placentary tissue invaded the bladder, wide ligament along the entire right side and the posterior pelvis. A hysterectomy was performed in the fundic region, resulting in a live birth, and no complications for the patients. Later an obstetric hysterectomy was performed. It is important to note the exemplary work of the gynecologist, surgeon, urologist, anesthesiologist, neonatal specialist, hematologist and intensive care workers, working together for a common goal: avoiding the morbidity and mortality of the mother and child.
Servicio de Obstetricia, Hospital General de Occidente, Secretaría de Salud de Jalisco. robertgine08@hotmail.com
Roberto Carlos
RC
Ortiz-Villalobos
Edith Esmeralda
EE
Luna-Covarrubias
Raymundo Felipe
RF
Serrano-Enríquez
Jorge
J
Laureano-Eugenio
Martha Leticia
ML
Mejía-Mendoza
José Gilberto
JG
Rodríguez-Rodríguez
D034861:Abdominal Wall; D000328:Adult; D005260:Female; D006801:Humans; D010921:Placenta Accreta / Q000473:pathology*; D011247:Pregnancy; D014515:Ureteral Diseases / Q000209:etiology*; D001745:Urinary Bladder Diseases / Q000209:etiology*