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Occult infiltrating placenta previa percreta: an unusual case highlighting the management problems in a young patient

B A Ruparelia1, M G Chapman

  • 1Department of Obstetrics and Gynaecology, Guy's Hospital Medical School, London, U.K.

Placenta previa in association with placenta accreta has been recorded on average in 1 in 500 pregnancies; its association with placenta percreta is a much rarer condition. We report an unusual case of placenta previa which presented as a severe form of occult parasitic infiltration, invading the internal iliac vessels. This was followed by life-threatening complications, despite preventative measures. Use of a prediction index to suspect placenta previa is mentioned.

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