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...

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Main Authors: Vinayak Gorakhanath Wagaskar, Sudarshan Omprakash Daga, Sujata Kiran Patwardhan
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2015-12-01
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
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author Vinayak Gorakhanath Wagaskar
Sudarshan Omprakash Daga
Sujata Kiran Patwardhan
author_facet Vinayak Gorakhanath Wagaskar
Sudarshan Omprakash Daga
Sujata Kiran Patwardhan
author_sort Vinayak Gorakhanath Wagaskar
collection DOAJ
description 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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spelling doaj.art-47df337866204ecb80145ac1108b58222022-12-22T00:16:32ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2015-12-01912PD01PD0210.7860/JCDR/2015/16411.6935Placenta Percreta Presenting with Delayed HaematuriaVinayak Gorakhanath Wagaskar0Sudarshan Omprakash Daga1Sujata Kiran Patwardhan2Resident, Department of Urology, King’s Edward Memorial Hospital and S.G.S. Medical College, Mumbai, India.Resident, Department of Urology, King’s Edward Memorial Hospital and S.G.S. Medical College, Mumbai, India.Professor and Head, Department of Urology, King’s Edward Memorial Hospital and S.G.S. Medical College, Mumbai, India. 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.https://jcdr.net/articles/PDF/6935/16411_CE[Ra1]_F(AK)_PF1(VIAK)_PFA(AK)_PF2(PAG).pdfbladder invasionhysterectomymass methotrexateplacenta percreta
spellingShingle Vinayak Gorakhanath Wagaskar
Sudarshan Omprakash Daga
Sujata Kiran Patwardhan
Placenta Percreta Presenting with Delayed Haematuria
Journal of Clinical and Diagnostic Research
bladder invasion
hysterectomy
mass methotrexate
placenta percreta
title Placenta Percreta Presenting with Delayed Haematuria
title_full Placenta Percreta Presenting with Delayed Haematuria
title_fullStr Placenta Percreta Presenting with Delayed Haematuria
title_full_unstemmed Placenta Percreta Presenting with Delayed Haematuria
title_short Placenta Percreta Presenting with Delayed Haematuria
title_sort placenta percreta presenting with delayed haematuria
topic bladder invasion
hysterectomy
mass methotrexate
placenta percreta
url https://jcdr.net/articles/PDF/6935/16411_CE[Ra1]_F(AK)_PF1(VIAK)_PFA(AK)_PF2(PAG).pdf
work_keys_str_mv AT vinayakgorakhanathwagaskar placentapercretapresentingwithdelayedhaematuria
AT sudarshanomprakashdaga placentapercretapresentingwithdelayedhaematuria
AT sujatakiranpatwardhan placentapercretapresentingwithdelayedhaematuria