During a cesarean section for placenta previa, the surgeon encounters dense adhesions between the placenta and the anterior uterine wall with loss of the clear surgical plane. The placenta is left in situ and the uterus closed. Which structure is at the highest risk of injury in this conservative approach?
- A Ureter
- B Bladder ✓
- C Sigmoid colon
- D Small intestine
Correct answer: B. Bladder
Explanation
In placenta accreta spectrum with anterior placenta previa, the bladder is directly adjacent and most commonly invaded. Conservative management with placenta in situ carries high risk of bladder injury due to the abnormal adherence between placenta and bladder wall.
Reference: Williams Obstetrics, 26th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.