International Medical Case Reports Journal (Mar 2023)
Placenta Percreta Managed by Ultrasound-Guided Vertical Transfundal Uterine Incision with Hysterectomy: Case Report
Abstract
Awol Yemane Legesse,1 Hale Teka,1 Sara Kiros2 1Department of Obstetrics and Gynecology, Mekelle University, Mekelle, Tigray, Ethiopia; 2Department of Pathology, Mekelle University, Mekelle, Tigray, EthiopiaCorrespondence: Awol Yemane Legesse, Obstetrician and Gynecologist, Department of Obstetrics and Gynecology, Mekelle University, P.O. Box: 1871, Mekelle, Tigray, Ethiopia, Email [email protected]: Placenta accreta spectrum is an obstetrics complication in which the placenta has abnormally adhered to the decidua and uterine wall. Placenta percreta is the rarest and sternest variant of accreta syndrome. In this study, we present a case of placenta percreta where we have done ultrasound-guided trans fundal vertical uterine incision to deliver a healthy fetus and subsequent cesarean hysterectomy. Antepartum diagnosis, involvement of a multidisciplinary team, appropriate counseling of women and their families, ultrasound guidance for placental margin demarcation, and vertical transfundal uterine incision can be considered for patients with placenta percreta.Keywords: placenta percreta, vertical trans fundal incision, hysterectomy
