A rare case report of hysterotomy for retained placenta accreta in bicornuate uterus

Reena Sharma, Amit Gupta, Usha K. Chaudhary, Ajay Sharma, Arvind Kumar


Retained placenta is a common third stage complication. Placenta accreta is due to abnormal invasive placental implantation. Many cases of Post-partum haemorrhage (PPH) are caused by placenta accreta and may lead to peripartum hysterectomy. We here report a case of placenta accreta in a patient following two failed attempts of manual removal of retained placenta followed by conservative management with methotrexate in stable patient. Both attempts were unsuccessful and led to septicaemia, requiring delivery of placenta by hysterotomy.


Retained placenta, Placenta accreta, Methotrexate

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