Placenta Percreta Presenting
with Delayed Haematuria
Published: December 1, 2015 | DOI: https://doi.org/10.7860/JCDR/2015/.6935
Vinayak Gorakhanath Wagaskar, Sudarshan Omprakash Daga, Sujata Kiran Patwardhan
1. Resident, Department of Urology, King’s Edward Memorial Hospital and S.G.S. Medical College, Mumbai, India.
2. Resident, Department of Urology, King’s Edward Memorial Hospital and S.G.S. Medical College, Mumbai, India.
3. Professor and Head, Department of Urology, King’s Edward Memorial Hospital and S.G.S. Medical College, Mumbai, India.
Correspondence
Dr. Vinayak Gorakhanath Wagaskar,
Resident, Department of Urology, 8th Floor New Building, Kings Edward Memorial Hospital and S.G.S. Medical College,
E Borges Road, Parel; Mumbai-400012, India.
E-mail: vinayakwagaskar99@gmail.com
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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