Fundal Placenta Accreta: A Rare Presentation and Comprehensive Review

Fundal placenta accreta is a rare and challenging condition characterized by abnormal placental adherence to the myometrium, typically in the upper uterine segment. This case report describes a 35-year-old woman with a history of two previous cesarean sections, who presented at 19 weeks gestation with antepartum hemorrhage and was diagnosed with fundal placenta accreta. Diagnostic imaging, including ultrasound and MRI, revealed a centroplacental hematoma and signs of myometrial invasion, which were confirmed histopathologically after emergency extraction and postpartum management. Placenta accreta presents significant risks, primarily hemorrhagic, and requires careful diagnosis and management. Early detection using advanced imaging techniques, such as Doppler ultrasound and MRI, is crucial for planning treatment. Conservative and radical surgical options, including cesarean hysterectomy, must be considered depending on the severity of the condition.