Placenta Percreta Presenting with Delayed Haematuria
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...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2015-12-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/6935/16411_CE[Ra1]_F(AK)_PF1(VIAK)_PFA(AK)_PF2(PAG).pdf |
| Summary: | 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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| ISSN: | 2249-782X 0973-709X |