2013, Number 08
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Ginecol Obstet Mex 2013; 81 (08)
Placenta percreta with invasion of the bladder, ureter and abdominal wall. Case report
Ortiz-Villalobos RC, Luna- Covarrubias EE, Serrano-Enríquez RF, Laureano-Eugenio J, Mejía-Mendoza ML, Rodríguez-Rodríguez JG
Language: Spanish
References: 12
Page: 487-493
PDF size: 591.73 Kb.
ABSTRACT
Placental acretism is the abnormal adherence beyond the
underlying of the uterine muscle. The penetration of the
serous is known as placenta percreta.
The following is a clinical study of a 28 year old woman, who
had undergone 2 previous C-Sections, who had been admitted
to the hospital previously with ultrasounds suggestive of
placental acretism. The magnetic resonance show with severe
infiltration of the myometrium in the anterior and lateral
right, extending until the mesentery of the abdomen, top of
the bladder and the proximal portion of the urethra as well
as the soft tissue of the perinea.
Cesarean section was performed at 35 weeks of gestation,
once the complete protocol of the placenta previa, had been
completed. The placentary tissue invaded the bladder, wide
ligament along the entire right side and the posterior pelvis.
A hysterectomy was performed in the fundic region, resulting
in a live birth, and no complications for the patients. Later an
obstetric hysterectomy was performed.
It is important to note the exemplary work of the gynecologist,
surgeon, urologist, anesthesiologist, neonatal specialist,
hematologist and intensive care workers, working together
for a common goal: avoiding the morbidity and mortality of
the mother and child.
REFERENCES
Jauniaux E, Jurkovic D. Placenta acreta: patogénesis de una afección uterina iatrogénica del siglo XX. Colección de Trabajos Distinguidos, Serie: Obstetricia y Ginecología 2012;33:244-251.
Cafici D, Mejides A, Sepúlveda W. Ultrasonografía en obstetricia y diagnóstico prenatal. 1ª ed. Buenos Aires: Ediciones Journal, 2003;120-122.
Dueñas O, Rico H, Rodríguez M. Actitud en el diagnóstico y manejo del acretismo placentario. Rev Chil Obstet Ginecol 2007;72:266-271.
Gilstrap L, Cunningham FG, VanDorsten JP. Urgencias en sala de partos y obstetricia quirúrgica. 2ª ed. Buenos Aires: Médica Panamericana, 2004; 403-404.
Washecka R, Behling A. Urologic complications of placenta percreta invading the urinary bladder: a case report and review of the literature. Hawaii Med J 2002;61:66-69.
Medina JM, Hernández AL. Placenta previa acreta: un problema singular. Comunicación de dos casos y revisión de la bibliografía. Ginecol Obstet Mex 2006;74:599-604.
Vera E, Lattus J, Bermúdez H, Espinoza L, Ibáñez C, Herrera A, Almuna R. Placenta percreta con invasión vesical: reporte de 2 casos. Rev Chil Obstet Ginecol 2005;70:404- 410.
Massotto H, Wong R. Abdomen agudo y embarazo: placenta percreta. Acta Médica Costarricense 2001;43:178-181.
Torres LG, Torres E, Rodríguez RM. Placenta percreta con invasión a la vejiga. Reporte de un caso. Ginecol Obstet Mex 2007;75:549-552.
Briceño C, Briceño L. Placenta percreta con ruptura uterina espontánea temprana. Rev Obstet Ginecol Venez 2005;65:193-198.
Briceño C, Alaña F, Briceño L, Briceño J, Briceño C. Placenta percreta. Rev Obstet Ginecol Venez 2002;62:273- 277.
Abehsera D, González C, López S, Sancha M, Magdaleno F. Placenta percreta, experiencia en 20 años del Hospital Universitario La Paz, Madrid, España. Rev Chil Obstet Ginecol 2011;76:127-131.
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