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A Successful Pregnancy Following Placenta Percreta with Bladder Invasion

Placenta percreta is a rare condition. The reported incidence varies from 1 :20.000 to about 1 :90,000 ( I ). Placenta percreta with bladder invasion is even rarer. It carries a very high morbidity and mortality for both mother and fetus due to haemorrhage (2). and it almost always occurs in a scarred uterus. Most reported cases have been diagnosed after 30 weeks of pregnancy and few have presented before 20 weeks (3,4). Most have been managed by hysterectomy at the time of Caesarean section but there has been one report of conservative management at the time of Caesarean section with the placenta left in situ and hysterectomy carried out several weeks later (5). Placenta percreta managed with uterine conservation is extremely rare. Few such cases have been reported, and none with bladder invasion (4,6). There do not appear to be any cases in the literature where placenta percreta with bladder invasion was managed with uterine conservation and subsequent successful pregnancy. This case is presented where the management of placenta percreta with bladder invasion was conservative, preserving the uterus and was later followed by a successful term pregnancy.