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Smith ZL, Sehgal SS, Van Arsdalen KN, et al. Placenta Percreta With Invasion into the Urinary Bladder. Urol Case Rep. 2014;2(1):31-2doi: 10.1016/j.eucr.2013.11.010.
Smith, Z. L., Sehgal, S. S., Van Arsdalen, K. N., & Goldstein, I. S. (2014). Placenta Percreta With Invasion into the Urinary Bladder. Urology case reports, 2(1), 31-2. https://doi.org/10.1016/j.eucr.2013.11.010
Smith, Zachary L, et al. "Placenta Percreta With Invasion into the Urinary Bladder." Urology case reports vol. 2,1 (2014): 31-2. doi: https://doi.org/10.1016/j.eucr.2013.11.010
Smith ZL, Sehgal SS, Van Arsdalen KN, Goldstein IS. Placenta Percreta With Invasion into the Urinary Bladder. Urol Case Rep. 2014 Jan 24;2(1):31-2. doi: 10.1016/j.eucr.2013.11.010. eCollection 2014 Jan. PMID: 26955539; PMCID: PMC4733000.
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Urol Case Rep. 2014 Jan 24;2(1):31-2. doi: 10.1016/j.eucr.2013.11.010. eCollection 2014 Jan.

Placenta Percreta With Invasion into the Urinary Bladder.

Urology case reports

Zachary L Smith, Shailen S Sehgal, Keith N Van Arsdalen, Irwin S Goldstein

Affiliations

  1. Division of Urology, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.

PMID: 26955539 PMCID: PMC4733000 DOI: 10.1016/j.eucr.2013.11.010

Abstract

Placenta percreta is a rare condition, which can lead to significant morbidity and potentially mortality. We present a case of a 38-year-old woman who presented at 24 weeks gestation with vaginal bleeding and was found to have complete placenta previa with placenta percreta invading the urinary bladder. Her hospital course was complicated by bilateral pulmonary emboli. She underwent an exploratory laparotomy, repeat Caesarean section, and total abdominal hysterectomy. Because of placental invasion into the bladder, the procedure was complicated by bladder and ureteral injuries for which urology carried out repair. Postoperatively, the patient had a persistent bladder leak until postoperative day #39.

Keywords: Bladder; Cystorrhaphy; Placenta percreta; Placenta previa; Reconstruction

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