Placenta percreta in primigravida, an unsuspected situation


  • Bhuvaneshwari Rajkumar Department of Obstetrics and Gynecology, Sri Manakula Vinayagar Medical College and Hospital, Kalitheerthalkuppam - 605107, Puducherry, India
  • Nisha Kumar Department of Obstetrics and Gynecology, Sri Manakula Vinayagar Medical College and Hospital, Kalitheerthalkuppam - 605107, Puducherry, India
  • Sowmya Srinivasan Department of Pathology, Sri Manakula Vinayagar Medical College and Hospital, Kalitheerthalkuppam - 605107, Puducherry, India


Placenta percreta, Retained placenta, Caesarean hysterectomy, Emergency hysterectomy, Third stage hemorrhage


Placenta percreta, the most severe form of placenta accreta, is a rare pregnancy disorder in which the placenta penetrates the uterine myometrium and serosa and can invade the surrounding organs. It is a potentially life-threatening condition with risk of severe maternal morbidity and mortality. Although recognized obstetric risk factors allow the identification of most cases during the prenatal period, diagnosis is occasionally made at the time of delivery. Both sonography and MRI have fairly good sensitivity for prenatal diagnosis of placenta accreta. Prenatal diagnosis allows management of these patients in specialized tertiary centers, where a multidisciplinary approach will improve the outcome. Even in undiagnosed cases discovered at the time of delivery involving a team of anesthesiologist, obstetrician, urologist, neonatologist, and blood bank officer is needed for successful management of these patients. In this report we present the case of a primigravida with no known risk factors who was diagnosed to have placenta percreta at the time of caesarean delivery.


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