Placenta Percreta with Bladder Wall Invasion: A Case Report

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dc.contributor.authorWisist Khorsuwandeeen_US
dc.date.accessioned2011-02-22T09:11:17Z
dc.date.available2011-02-22T09:11:17Z
dc.date.created2010-01-13en_US
dc.date.issued2010-01-13en_US
dc.description.abstractAbstract Placenta Percreta with Bladder Wall Invasion: A Case Report Wisist         Khorsuwandee     BSc (Med), MD Department of Obstetrics and Gynecology, BMA Medical College and Vajira Hospital         Placenta percreta was a very rare condition in the past. However, it is becoming more common in view of the increasing rates of cesarean section and advanced maternal age pregnancy. This condition could be life-threatening for both mother and infant, due to the consequences of disseminated intravascular coagulation (DIC) as well as its penetration into the adjacent organs such as intestine or urinary bladder. The treatment of placenta percreta can be done by either peripartum hysterectomy or medical therapy with conservation of the uterus and placenta. In this case report, a 43-year-old pregnant woman, gravida 3, was prenatally diagnosed as having placenta percreta with bladder wall invasion by an ultrasonographic study. She underwent a cesarean section with subtotal hysterectomy. Her infant was a normal male infant weighing 2,700 grams. The Apgar scores at 1 and 5 min were 10 and 10 respectively. Immediately post hysterectomy, the estimated blood loss was 2,000 ml. After that, there was a serious event of DIC causing further bleeding about 2,000 ml. This resulted in a necessarily blood and blood components replacement, so that such complication could be overcome. Postoperatively, both mother and infant were admitted for 11 days. At 1-month follow-up, they were in good condition. Vajira Med J 2007 ; 51 : 211 - 216en_US
dc.identifier.citationVajira Medical Journal; Vol. 51 No. 3 September - December 2007; 211 - 216en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/133192
dc.language.isoen_USen_US
dc.publisherVajira Medical Journalen_US
dc.rightsFaculty of Medicine, Vajira Hospital, University of Bangkok Metropolis, Bangkok, Thailanden_US
dc.source.urihttps://thailand.digitaljournals.org/index.php/VMJ/issue/archiveen_US
dc.source.urihttps://thailand.digitaljournals.org/index.php/VMJ/article/view/697en_US
dc.titlePlacenta Percreta with Bladder Wall Invasion: A Case Reporten_US
dc.typeCase Reporten_US
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