Publication: Placenta Accreta Spectrum: A Case Report and Review of Diagnostic and Management Challenges
Date
2025
Article Type
Case Report
Journal Title
Journal ISSN
3059-9547
Volume Title
Pages
Pages: 94 - 97
Publisher
Public Health Concern Trust-Nepal (phect-NEPAL)
Abstract
Abstract:
Placenta accreta spectrum (PAS) represent a major cause of severe obstetric hemorrhage and maternal morbidity, particularly in women with a history of cesarean delivery and placenta previa. Early antenatal diagnosis and multidisciplinary planning are essential to optimize outcomes. We report a case of placenta accreta spectrum with bladder involvement in a 33-year-old multigravida with a previous cesarean section, diagnosed antenatally by imaging. The patient underwent an emergency classical cesarean section followed by cesarean hysterectomy and bladder repair at 32 + 3 weeks’ gestation due to massive obstetric hemorrhage. Histopathological examination confirmed placenta accreta. This case highlights the importance accurate diagnosis and the need of multidisciplinary approach in a tertiary care center for the optimal outcome.
Description
Sabita Shrestha
Department of Ob/Gyn, Kathmandu Model Hospital Institute of Health Science
Nitesh Ghimire
Department of Ob/Gyn, Kathmandu Model Hospital Institute of Health Science
Ganesh Dangal
Department of Ob/Gyn, Kathmandu Model Hospital Institute of Health Science
Ranjana Shrestha
Department of Ob/Gyn, Kathmandu Model Hospital Institute of Health Science
Kabin Bhattachan
Department of Ob/Gyn, Kathmandu Model Hospital Institute of Health Science
Keywords
cesarean hysterectomy, obstetric hemorrhage, placenta accreta spectrum, placenta previa
Identifier
https://doi.org/10.63455/pam58q65