Anjali Rani, Madhu Kumari, Madhu Jain, Varsha, Shikha, Suchi Jain, Shivi Jain
ABSTRACT
These days incidence of placenta previa and accrete is increasing because of increased rate of caesarean section. MRI and Color Doppler play important role in the diagnosis of placenta percreta . After proper diagnosis we can avoid lethal complications.It is not very common to see a case of placenta percreta with bladder invasion. In this case G4P3+0 at 34 weeks gestation there was placentae percreta with bladder invasion which was diagnosed with MRI. Patient was initially managed conservatively . Then elective surger planned. It was managed by a team of obstetrician, paediatrician, anestetist and urologist. Baby was delivered by LSCS but hysterectomy and partial cystectomy was done. There was massive blood loss and blood transfusin was done. In postop period patient developed jaundice which was managed and patient was discharged .
Key Words: Placenta percreta, Bladder invasion, Hysterectomy