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Case Reports in Obstetrics and Gynecology
Volume 2017 (2017), Article ID 9863792, 3 pages
https://doi.org/10.1155/2017/9863792
Case Report

Macroscopic Hematuria due to Placenta Percreta: Report of Two Cases and Short Review

1Department of Obstetrics and Gynecology, University Hospital of Larissa, Larissa, Thessaly, Greece
2Department of Urology, University Hospital of Larissa, Larissa, Thessaly, Greece

Correspondence should be addressed to Ourania Koukoura; moc.oohay@aruokuoko

Received 8 January 2017; Accepted 7 February 2017; Published 18 June 2017

Academic Editor: Giampiero Capobianco

Copyright © 2017 Ourania Koukoura et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Herein we present two cases of pregnant women with placenta percreta and severe hematuria during the 24th and 35th weeks of pregnancy, respectively. A timely sonographic diagnosis was feasible in the first case and cesarean section was performed during the 29th week. During the operation, the placenta was invading the bladder wall and concomitant hysterectomy with cystotomy and bladder wall reconstruction was performed. The second case presented in our emergency department with vaginal bleeding during the 35th weeks of pregnancy. She underwent an emergency cesarean section with uterine preservation, cystotomy, and bladder reconstruction.