Placenta Percreta With Bladder Invasion Diagnosed With Sonography: Images and Clinical Correlation

摘要

A woman in her late 30s with a history of three low-transverse cesarean sections was noted to have findings for a placenta accreta at 32 weeks. Serial sonograms were consistent with the development of placenta percreta with invasion into the urinary bladder. The infant was delivered at 38 weeks by trahsfundal cesarean section. Intraoperativecystoscopy confirmed bladder invasion, and the placenta was left in situ in an attempt to conserve the bladder. Sonographic images of the placenta show vessels invading the uterovesicle interface, and images taken at the time of surgery demonstrate the correlation between sonography and actual physical findings.