Serial magnetic resonance imaging of placenta percreta with bladder involvement during pregnancy and postpartum: A case report
Article first published online: 4 JUN 2012
© 2012 The Authors. Journal of Obstetrics and Gynaecology Research © 2012 Japan Society of Obstetrics and Gynecology
Journal of Obstetrics and Gynaecology Research
Volume 39, Issue 1, pages 359–363, January 2013
How to Cite
Ueda, Y., Kondoh, E., Kakui, K., Hamanishi, J., Ueda, M., Nishikawa, A., Tatsumi, K. and Konishi, I. (2013), Serial magnetic resonance imaging of placenta percreta with bladder involvement during pregnancy and postpartum: A case report. Journal of Obstetrics and Gynaecology Research, 39: 359–363. doi: 10.1111/j.1447-0756.2012.01899.x
- Issue published online: 7 JAN 2013
- Article first published online: 4 JUN 2012
- Received: October 11 2011.; Accepted: February 2 2012.
- bladder invasion;
- conservative treatment;
- magnetic resonance imaging;
- placenta accreta;
- placenta previa percreta
Whether to manage placenta previa percreta surgically or conservatively has been a controversial issue. A 30-year-old woman with placenta percreta with bladder involvement was treated conservatively. A planned cesarean section was performed at 33 weeks' gestation. A 1768-g female infant was delivered through a transverse fundal uterine incision with the placenta left inside the uterus. The following morning, a massive postpartum hemorrhage occurred, and was successfully treated with transarterial embolization. The placenta was never expelled and spontaneously disappeared 4 months after surgery. We demonstrate serial magnetic resonance imaging of the placenta percreta during pregnancy and the postpartum period.