A CASE STUDY OF PLACENTA PREVIA WITH PLACENTA PERCRETA

Placenta percreta the rarest and most severe form of placenta accreta, can involve the urinary bladder. Because of its propensity for severe hemorrhage, it is a potentially life threatening condition. Although commonly diagnosed at the time of delivery, antenatal diagnosis may be achieved with ultrasound , magnetic resonance imaging and cystoscopy . Every attempt should be made to minimize potential for blood loss by avoiding removal of placenta at the time of delivery and either performing a hysterectomy or using methotrexate therapy to ablate the residual placenta in the post partum period