Placental accreta with bladder involvement in height

Authors

Keywords:

placenta accreta, maternal mortality, multidisciplinary management

Abstract

Introduction: Placental accreta is a complex obstetric complication. According to the degree of depth, it is classified into placenta accreta, increta and percreta, the latter being a rare presentation.

Objective: To report the surgical clinical evolution of a patient with a diagnosis of placental accreta (placenta percreta) with bladder involvement.

Clinical case report: A 28-year-old second-pregnant patient, with a history of a previous cesarean section approximately 4 years ago, was admitted to an outpatient clinic due to a probable placental accreta with bladder invasion performed in the third trimester which was suggestive in ultrasound study. She was hospitalized for better study and treatment and she underwent surgery by a multidisciplinary team. A modified cesarean section-hysterectomy, with partial bladder resection and hypogastric ligation, with a short stay in the Intensive Care Unit and hospitalization without subsequent urological complications.

Conclusions: Early detection allows adequate preoperative planning with a specialized multidisciplinary team, considering the early participation of the urologist in decision-making.

Keywords: placenta accreta; maternal mortality; multidisciplinary management.

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Author Biographies

Sandra Paola Valencia Cugnas, Universidad Privada Antenor Orrego- Facultad de Medicina Humana: Trujillo, La Libertad, Perú.

-CAJAMARCA

Jorge Arturo Collantes Cubas, Hospital Regional Docente de Cajamarca. Cajamarca, Perú.

-Cajamarca

-Médico Gineco Obstetra, Departamento de Ginecoobstetricia

Victor Hugo Bardales Zuta, -Universidad Privada Antenor Orrego-Facultad de Medicina Humana: Trujillo, La Libertad, Perú. -Hospital I Florencia de Mora, EsSalud. Trujillo, La Libertad, Perú

-La Libertad

-Médico Internista, Departamento de Medicina Interna

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Published

2021-03-03

How to Cite

1.
Valencia Cugnas SP, Collantes Cubas JA, Bardales Zuta VH. Placental accreta with bladder involvement in height. Rev Cubana Med [Internet]. 2021 Mar. 3 [cited 2025 Mar. 14];60(2). Available from: https://revmedicina.sld.cu/index.php/med/article/view/1595

Issue

Vol. 60 No. 2 (2021): abril-junio

Section

Case Reports

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