PLACENTA PREVIA PERCRETA WITH BLADDER INVASION

Background: Although the clinical presentation and imaging techniques can raise suspicion for placenta previa percreta, this potentially cat astrophic condition may remain undiagnosed or its extent underapprecia ted until delivery. The decision to proceed with definitive surgery in cases of placenta previa percreta should be carefully considered. Cas e: A case of placenta previa percreta with bladder invasion was diagno sed prenatally. This case illustrates the magnitude of complications t hat can arise despite aggressive multidisciplinary perioperative manag ement. Conclusion: When possible, hysterectomy performed for placenta previa percreta is best avoided under anything other than ideal condit ions. A multidisciplinary approach for preoperative, intraoperative, a nd postoperative management of placenta previa percreta optimizes mate rnal outcome. (C) 1997 by The American College of Obstetricians and Gy necologists.