Placenta Previa Percreta With Bladder Invasion

Placenta Praevia Percreta Invading the Urinary Bladder

“…The incidence of placenta praevia accreta/percreta is increasing as Caesarean section rates rise since most cases occur in patients with a previous lower uterine segment incision (l), and when the diagnosis is made it is now generally accepted that hysterectomy should be performed at the time of Caesarean section without delay (2). However, this is a daunting procedure frequently associated with technical difficulties and massive haemorrhage (3,4). A case of the rare placenta percreta invading the urinary bladder is presented as an example where conservative management was successful and may have a place particularly when the diagnosis is made at operation and surgical options are limited.…”