A Rare Cause of Massive Hematuria: Placenta Percreta With Bladder Invasion

xlomafota13 shared this article with you from Inoreader A Rare Cause of Massive Hematuria: Placenta Percreta With Bladder Invasion Via In vivo (Athens, Greece) In Vivo. 2021 Nov-Dec;35(6):3633-3639. doi: 10.21873/invivo.12670. ABSTRACT BACKGROUND/AIM: Placenta percreta is a rare event, but it poses serious problems due to potential hemorrhagic events. We report a particular case of placenta percreta with massive hematuria due to maternal bladder invasion, and describe the surgical protocol performed that resulted in an excellent outcome. CASE REPORT: A 33-year-old patient, at 27th weeks gestational age, presented in the emergency room of the Urology Department with urinary blood clot acute retention, because of massive hematuria from a placenta percreta with bladder invasion. After extracting the clots from the bladder, and coagulation of an area of venous ectasies of the posterior wall, hematuria ceased, but appeared after two days, necessitating again the bladder clots removal and coagulation. A surgical team with gynecologists, urologists, anesthesiologists and a neonatolo gist was composed, and after bilateral ureteral double J insertion, cesarean section was performed followed by hemostatic hysterectomy and partial cystectomy, bilateral internal iliac artery ligature and repair of the bladder wall. The postoperative evolution was without incidents; the Foley catheter was removed in the 14th postoperative day. CONCLUSION: In the context of a massive hematuria of a pregnant woman, the urologist must always consider a diagnosis of complicated placenta percreta. PMID:34697206 | DOI:10.21873/invivo.12670 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.