[Placenta accreta with placenta previa. Case report]

Area of Science:

• Obstetrics and Gynecology
• Maternal-Fetal Medicine

Background:

• Placenta praevia and placenta accreta are significant obstetric complications.
• These conditions involve abnormal placental implantation and invasion into the uterine wall.
• Absence of the decidua is a key pathological feature.

Observation:

• A 32-year-old patient at 34 weeks gestation presented with recurrent transvaginal bleeding.
• Previous cesarean section was noted in her obstetric history.
• Ultrasound diagnosis confirmed placenta praevia with suspected accreta.

Findings:

• The patient had concurrent placenta praevia and placenta accreta.
• Villi invasion into the myometrium was observed.
• The condition was associated with partial or complete absence of the decidua.

Implications:

• This case underscores the diagnostic challenges and management complexities of concurrent placenta praevia and accreta.
• Abdominal total hysterectomy was the required surgical treatment.
• Early diagnosis and appropriate management are crucial for maternal outcomes.