Shrestha, SabitaGhimire, NiteshDangal, GaneshShrestha, RanjanaBhattachan, Kabin2026-07-092026-07-092025https://hdl.handle.net/20.500.14572/6920Sabita 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 ScienceAbstract: 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.en-UScesarean hysterectomyobstetric hemorrhageplacenta accreta spectrumplacenta previaArticle