Conservative management of placenta previa ‐percreta with bladder invasion: A case report

We present a case of a 35-year-old woman (G2 P1) who was referred to the Akbar-Abadi hospital at 13  weeks of gestation. Color Doppler ultrasound indicated complete placenta previa-percreta with bladder invasion. After induction of fetal demise, bilateral uterine and bladder artery endovascular embolization was conducted for the patient. After 48 h, under ultrasound guidance, surgical resectio n of residual percreta tissue was conducted as much as possible. Eight weeks later, a follow-up sonography showed the minimum residual placenta tissue and she regained menstrual cycles after 2 months. This case indicated that the combination of prophylactic embolization, conservative surgical mana gement with placenta left in situ, and follow-up with serial color Doppler monitoring, is an optimum method to avoid hysterectomy in placenta percreta patient with adjacent organ invasion.
Source: Clinical Case Reports - Category: General Medicine Authors: Tags: CASE REPORT Source Type: research