胎盘植入侵及膀胱:病例报道

• 作 者: Osmana■lu M.A. gao■ao■lu 高雪莲
• 机 构: Department of Obstetrics, Faculty of Medicine, Karadeniz Technical University, 61080 Trabzon, Turkey
• 出 处: 世界核心医学期刊文摘(妇产科学分册)
• 发表日期: 2005年04期
• 关键词: 胎盘植入 膀胱 前置胎盘 膀胱部分切除术 病例 剖宫产术 动脉结扎术 产妇 残留体 双侧髂

Placenta previa percreta with bladder invasion is associated with a rare but serious risk of maternal hemorrhage. We present the case of a 37-year-old woman with placenta previa percreta invading the urinary bladder. A cesarean operation with supracervical hysterectomy, partial excision of the bladder and bilateral hypogastric artery ligation was carried out in the 36th week of pregnancy. A part of the placenta was excised manually and the remaining placenta was left in situ. The β-hCG level was not measurable at 60 days postoperatively. If a multipara with a history of cesarean section and placenta previa presents with hematuria, the possibility of placental invasion of the bladder should be considered.

Placenta previa percreta with bladder invasion is associated with a rare but serious risk of maternal hemorrhage. We present the case of a 37-year-old woman with placenta previa percreta invading the urinary bladder. A cesarean operation with supracervical hysterectomy, partial excision of the bladder and bilateral hypogastric artery ligation was carried out in the 36th week of pregnancy. A part of the placenta was excised manually and the remaining placenta was left in situ. The β-hCG level was not measurable at 60 days postoperatively. If a multipara with a history of cesarean section and placenta previa presents with hematuria, the possibility of placental invasion of the bladder should be considered.