Undiagnosed Placenta Accreta During an Abortion in Second Trimester: A Case Report


Authors : Dr. Nehad Mohamed Ali; Dr. Tahri Jautei Salma; Dr. Douraidi Nada; Dr. Damoun Oumaima; Dr. Maakoul Rachid; Dr. Bargach Samir

Volume/Issue : Volume 10 - 2025, Issue 7 - July


Google Scholar : https://tinyurl.com/4ywjx46b

Scribd : https://tinyurl.com/bde8a6d7

DOI : https://doi.org/10.38124/ijisrt/25jul637

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Abstract : Placenta accreta spectrum (PAS) is a dangerous pregnancy condition where the placenta abnormally invades the uterine wall, with three severity levels: accreta, increta, and percreta. It poses a life- threatening risk during evacuation or curettage procedures for pregnancy loss due to potential massive bleeding. Early diagnosis is crucial for at-risk women, but there's limited research and established management protocols specifically for second-trimester pregnancy termination cases involving PAS. In this report, we describe a case of placenta accreta in second trimester, diagnosis and management.

Keywords : PlacentaAccreta Spectrum, Diagnosis, Management.

References :

  1. Baldwin HJ, Patterson JA, Nippita TA, et al. Antecedents of Abnormally Invasive Placenta in Primiparous Women: Risk Associated With Gynecologic Procedures. Obstet Gynecol. 2018;131(2):227.
  2. Fitzpatrick KE, Sellers S, Spark P, et al. Incidence and risk factors for placenta accreta/increta/ percreta in the UK: a national case-control study. PLoS One. 2012;7:e52893.
  3. Wen A., Qian D., and Zhang X., Placenta accreta in early pregnancy: a case report and review of the literature, Zhonghua Fu Chan Ke Za Zhi. (1999) 34, no. 10, 606–608, 2-s2.0-0033206938.
  4. Placenta Accreta Spectrum Diagnosis Challenges and Controversies in Current Obstetrics: A Review : Arcade Arakaza 1, Li Zou 1,, Jianwen Zhu 1. Int J Womens Health. 2023 Apr 20;15:635– 654. doi: 10.2147/IJWH.S395271
  5. Cali G, Forlani F, Foti F, et al. Diagnostic accuracy of first-trimester ultrasound in detecting abnormally invasive placenta in high-risk women with placenta previa. Ultrasound Obstet Gynecol. 2018;52(2):258–264.
  6. First-trimester abortion complicated with placenta accreta: A systematic review, Yeou-Lih Wang, Shih-Shien Weng, Wen-Chu Huang.Taiwanese Journal of Obstetrics & Gynecology 58 (2019) 10-14

Placenta accreta spectrum (PAS) is a dangerous pregnancy condition where the placenta abnormally invades the uterine wall, with three severity levels: accreta, increta, and percreta. It poses a life- threatening risk during evacuation or curettage procedures for pregnancy loss due to potential massive bleeding. Early diagnosis is crucial for at-risk women, but there's limited research and established management protocols specifically for second-trimester pregnancy termination cases involving PAS. In this report, we describe a case of placenta accreta in second trimester, diagnosis and management.

Keywords : PlacentaAccreta Spectrum, Diagnosis, Management.

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Paper Submission Last Date
31 - December - 2025

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