Urological manifestations of placenta percreta
. Current Urology 2015; 8(2): 57-65.
Diagnosis and management of placenta percreta
: a review.
Ozardali, "What is the role of matrix metalloproteinase-2 in placenta percreta
?," Journal of Obstetrics and Gynaecology Research, vol.
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
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.
The incidences of placenta diseases such as placenta accreta, placenta increta, and placenta percreta
were significantly higher in the study group (P < 0.05); the difference of placenta previa rate between the two groups was of no significance.
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
(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).