A case of placenta increta in placenta previa: a rare case r
Placenta increta, one type of morbidly adherent placenta, is characterized by the entire or partial absence of the decidua basalis, and by the incomplete development of the fibrinoid or Nitabuch’s layer and villi actually invading the myometrium.

When the internal os is covered partially or completely by the placenta, it is described as a placenta previa. Simultaneously these two complications occurring in a post LSCS scarred uterus is a very rare scenario and is anticipated frequently to cause catastrophic obstetric outcomes.

A 32-years-old woman of second gravida, para 1, with a previous history of LSCS 7 years back, with living issue one, was admitted to our hospital at 35 weeks 5 days gestation with asymptomatic placenta previa with placenta increta.

The case was diagnosed effectively by ultrasonography. Intra-operatively, compression sutures and bilateral uterine artery ligature was tried to control hemorrhage which was failed and a quick decision of cesarean hysterectomy was done. Preserving both ovaries, total hysterectomy was the only option to save the mother in our case. Other options attempting to preserve the uterus could have ended up with grave consequences in this case.

This was a very rare case of asymptomatic placenta previa with placenta increta in a post LSCS scarred uterus and it was successfully managed by judicious cesarean hysterectomy.

Source: http://dx.doi.org/10.18203/2320-1770.ijrcog20212992
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