Source
Oman Medical Journal, v. 39, no. 2, e618 p. [1-5].
English abstract
Placenta accreta, one of the morbidly adherent placenta components and currently known
as placenta accreta spectrum (PAS), is a condition characterized by abnormal adherence
of the placenta to the uterine wall. This can lead to significant blood loss and may lead to
high morbidity and mortality rates for the mother. It is a failure of placenta separation
during the third stage of labor, which is thought to be high prevalence in those with
previous cesarean delivery, especially with the presence of placenta previa. However, PAS
is possible in cases of a normally-situated placenta without previous cesarean delivery. We
reported an interesting case of a 41-year-old woman, gravida 8 para 7, admitted to the
labor room for augmentation of labor, who needed emergency lower segment cesarean
section. The incidental finding of PAS was made intraoperatively and was complicated
with a hysterectomy. PAS in a normally situated placenta (upper segment) in a virgin
abdomen that has been discovered during emergency lower segment cesarean section
could cause a nightmare to the obstetrician as it leads to massive postpartum hemorrhage,
ureteric injury, and high maternal morbidity and mortality
