{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T09:12:48Z","timestamp":1783933968167,"version":"3.55.0"},"reference-count":20,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,5,7]],"date-time":"2024-05-07T00:00:00Z","timestamp":1715040000000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:sec><jats:title>Key Clinical Message<\/jats:title><jats:p>Placenta previa, accompanied by placenta percreta, which involves invasion of the bladder, presents a significant risk of excessive bleeding during and after delivery. This case highlights that prophylactic embolization, conservative surgery, and careful monitoring offer an effective approach to avoid hysterectomy in cases of placenta percreta with adjacent organ involvement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Abstract<\/jats:title><jats:p>Placenta previa complicated by placenta percreta is associated with a high risk of massive intra and post\u2010partum hemorrhage. We present a case of a 35\u2010year\u2010old woman (G2 P1) who was referred to the Akbar\u2010Abadi hospital at 13\u2009weeks of gestation. Color Doppler ultrasound indicated complete placenta previa\u2010percreta with bladder invasion. After induction of fetal demise, bilateral uterine and bladder artery endovascular embolization was conducted for the patient. After 48\u2009h, under ultrasound guidance, surgical resection of residual percreta tissue was conducted as much as possible. Eight weeks later, a follow\u2010up sonography showed the minimum residual placenta tissue and she regained menstrual cycles after 2\u2009months. This case indicated that the combination of prophylactic embolization, conservative surgical management with placenta left in\u00a0situ, and follow\u2010up with serial color Doppler monitoring, is an optimum method to avoid hysterectomy in placenta percreta patient with adjacent organ invasion.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccr3.8879","type":"journal-article","created":{"date-parts":[[2024,5,8]],"date-time":"2024-05-08T06:45:20Z","timestamp":1715150720000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Conservative management of placenta previa\u2010percreta with bladder invasion: A case report"],"prefix":"10.1002","volume":"12","author":[{"given":"Maryam","family":"Kashanian","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Iran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nooshin","family":"Eshraghi","sequence":"additional","affiliation":[{"name":"Akbarabadi Clinical Research and Development Center Iran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad Reza","family":"Babaei","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology Firouzgar Hospital, Iran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahdis","family":"Mohammadian\u2010amiri","sequence":"additional","affiliation":[{"name":"Akbarabadi Clinical Research and Development Center Iran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2306-7112","authenticated-orcid":false,"given":"Marjan","family":"Ghaemi","sequence":"additional","affiliation":[{"name":"Vali\u2010E\u2010Asr Reproductive Health Research Center Family Health Research Institute, Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Majid","family":"Aklamli","sequence":"additional","affiliation":[{"name":"Shahid Akbarabadi Clinical Research Development, Unit (ShACRDU) School of Medicine Iran University of Medical Sciences (IUMS)  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-9996-0169","authenticated-orcid":false,"given":"Nasim","family":"Eshraghi","sequence":"additional","affiliation":[{"name":"Vali\u2010E\u2010Asr Reproductive Health Research Center Family Health Research Institute, Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,5,7]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.17085\/apm.20076"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2019.01.233"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-031193"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001005"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.7863\/jum.2008.27.9.1275"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2017.02.016"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2020.01.044"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/7213689"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.4103\/UA.UA_84_18"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2017.1359535"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2010.01.015"},{"issue":"1","key":"e_1_2_11_13_1","first-page":"S28","article-title":"Placenta previa accreta spectrum: Cesarean hysterectomy","volume":"7","author":"Takeda S","year":"2021","journal-title":"Surg J (N Y)"},{"issue":"1","key":"e_1_2_11_14_1","first-page":"S11","article-title":"Intra\u2010arterial balloon occlusion to reduce operative bleeding for placenta previa accreta spectrum","volume":"7","author":"Murayama Y","year":"2021","journal-title":"Surg J (N Y)"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2021.109711"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.14348"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0001-6349.2005.00504.x"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12308"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1027701"},{"key":"e_1_2_11_20_1","first-page":"587","article-title":"The sonographic appearance and obstetric management of placenta accreta. 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