Placenta Percreta Presenting with Delayed Haematuria
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Placenta percreta presents as life threatening complications with bladder invasion. A condition of placenta invading urinary bladder presented with differential diagnosis of gestational trophoblastic neoplasia on imaging and responded to chemotherapy. A 35-year-old primi-gravida presented at term with per vaginal bleeding. During caesarian section placental mass totally invading uterine myometrium was found. She was given single dose of Methotrexate. After 2 months she presented with gross haematuria with clot retention two times. Her MRI was suggestive of gestational trophoblastic neoplasia of size 19 X 10 X 13cm. Her beta-Human Chorionic Gonadotropin levels were 691.23 mIU/ml. She was given total four doses of methotrexate. At present size of mass was 1.6 X1.3X 1.1cm. Her beta Human Chorionic Gonadotropin level dropped down to 2mIU/ml. Patient was not willing for further intervention or for follow up.
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Placenta percreta can be associated with major prenatal complications from early in pregnancy, such as uterine rupture and bladder involvement with associated life-threatening haemorrhage.
“Placenta percreta can be associated with major prenatal complications from early in pregnancy, such as uterine rupture [150][151][152] and bladder involvement with associated life-threatening haemorrhage.[153][154][155]”
From Placenta Praevia and Placenta Accreta: Diagnosis and Management: Green‐top Guideline No. 27a (2019) · cites this paper as [154]
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Placenta Praevia and Placenta Accreta: Diagnosis and Management: Green‐top Guideline No. 27a
Jauniaux, E., Alfirevic, Z., Bhide, A., Belfort, M., Burton, G., Collins, S., Dornan, S., Jurkovic, D., Kayem, G., Kingdom, J., et al. (2019) · BJOG: An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.15306 · Cited by 506 · see citing works
- Authors
- Wagaskar, V. G.
- Affiliations
- King Edward Memorial Hospital and Seth G.S. Medical College (IN)
- Corresponding author
- Wagaskar, Vinayak Gorakhanath
- Venue
- JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH
- Publisher
- JCDR Research and Publications
- Published
- 2015
- Volume
- 9
- Issue
- 12
- Pages
- PD01-2
- ISSN
- 0973-709X (ISSN-L)
- 2249-782X
- PMC
- PMC4717779
- OpenAlex
- W2409069558
- Cited by
- 5
- References
- 0
- Citations by year
- 2022: 2 · 2019: 1 · 2018: 1 · 2016: 1
- FWCI
- 0.71
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by-nc-nd
- Locations
- JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Gestational Trophoblastic Disease Studies
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Keywords
- placenta percreta, gestational trophoblastic neoplasia, hematuria, bladder invasion, methotrexate chemotherapy, cesarean section, beta-hCG, MRI diagnosis, term pregnancy
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