Placenta accreta in an unscarred uterus: a case report

Abstract

The placenta accreta is an abnormally adherent placenta. Its incidence increases with increasing rates of caesarean sections. Among its consequences, we first note the haemorrhage of delivery which can be very serious and fatal for the mother, uterine rupture and invasion of adjacent organs. The placenta accreta in unscarred uterus is very rare but possible. We report an interesting case of placenta accreta in an unscarred uterus discovered during an emergency cesarean. A 25-years-old female patient without history of scarred uterus, gravida 1, para 1, pregnant at 39 weeks, admitted to maternity emergency for delivery. During the labor, the parturient presented fetal bradycardia, hence the indication for an emergency cesarean section. The diagnosis of placenta accreta is made during the caesarean. We opted for a conservative treatment because of the age and parity of the patient. The placenta accreta is a pathology at risk of serious haemorrhagic complications during pregnancy and postpartum. This should encourage us to systematically search the ultrasound criteria for placenta accreta. The ultrasound report, in these patients, should explicitly mention it. Adequate care in the presence of a multidisciplinary team helps limit the mortality and morbidity associated with this pathology.

Keywords

• placenta accreta
• unscarred uterus
• conservative treatment