Urological manifestations of
placenta percreta. Current Urology 2015; 8(2): 57-65.
Diagnosis and management of
placenta percreta: a review.
Overall gross and microscopic findings confirmed the clinical diagnosis of
placenta percreta with retroplacental hematoma.
Caption: In this case of
placenta percreta, delayed hysterectomy was planned because of the degree of invasion (a), which was demonstrated by ultrasound (b) and MRI (c).The neonate was delivered through a fundai classical incision and the placenta was left in situ.
Among these, eight cases showed MAP at histopathology, namely placenta accreta (n=5), placenta increta (n=2), and
placenta percreta (n=1).
We will describe below a case of
placenta percreta that initially was successfully managed via conservative uterus-preserving therapy: corporeal caesarean section under iliac balloon inflation for leaving placenta in place after then section of the ombilical cord.
Kazam, "Vesico-uterine fistula associated with
placenta percreta," Urologic Radiology, vol.
However, the potential difficulty is the effective removal of amniotic fluid and the degree of contamination with fetal red cells with potential maternal sensitization, intraoperative cell salvage may be a useful technique in women who refuse blood or blood products (Jehovah's Witnesses guideline) (9) or those where massive blood loss is anticipated (
placenta percreta or accreta).
(3,9) Complications of conservative management include profuse vaginal bleeding, uterine sepsis, fever, placental polyp formation and vesico-uterine fistula formation (in
placenta percreta involving the urinary bladder).