PT - JOURNAL ARTICLE AU - RALUCA BALAN AU - VIOREL DRAGOȘ RADU AU - SIMONA-ELIZA GIUȘCĂ AU - CRISTIAN COSTACHE AU - CONSTANTIN RISTESCU AU - DRAGOȘ PUIA AU - PAVEL ONOFREI AU - MIRCEA ONOFRIESCU AU - ADINA TĂNASE AU - RĂZVAN POPOVICI AU - DEMETRA SOCOLOV AU - IRINA-DRAGA CĂRUNTU TI - A Rare Cause of Massive Hematuria: Placenta Percreta With Bladder Invasion AID - 10.21873/invivo.12670 DP - 2021 Nov 01 TA - In Vivo PG - 3633--3639 VI - 35 IP - 6 4099 - http://iv.iiarjournals.org/content/35/6/3633.short 4100 - http://iv.iiarjournals.org/content/35/6/3633.full SO - In Vivo2021 Nov 01; 35 AB - Background/Aim: Placenta percreta is a rare event, but it poses serious problems due to potential hemorrhagic events. We report a particular case of placenta percreta with massive hematuria due to maternal bladder invasion, and describe the surgical protocol performed that resulted in an excellent outcome. Case Report: A 33-year-old patient, at 27th weeks gestational age, presented in the emergency room of the Urology Department with urinary blood clot acute retention, because of massive hematuria from a placenta percreta with bladder invasion. After extracting the clots from the bladder, and coagulation of an area of venous ectasies of the posterior wall, hematuria ceased, but appeared after two days, necessitating again the bladder clots removal and coagulation. A surgical team with gynecologists, urologists, anesthesiologists and a neonatologist was composed, and after bilateral ureteral double J insertion, cesarean section was performed followed by hemostatic hysterectomy and partial cystectomy, bilateral internal iliac artery ligature and repair of the bladder wall. The postoperative evolution was without incidents; the Foley catheter was removed in the 14th postoperative day. Conclusion: In the context of a massive hematuria of a pregnant woman, the urologist must always consider a diagnosis of complicated placenta percreta.