Abstract

Khalid Lghamour*, Amina Lakhdar, Najia Zraidi and Aziz Baidada

ABSTRACT

We describe the case of a patient with a history of 2 curettages for three early abortions, who has a 34-week amenorrhea pregnancy followed by an obstetrician, the diagnosis of fully overlying placenta accreta previa is retained during follow-up. During hospitalization for an episode of genital bleeding, the diagnosis of placenta accreta previa was confirmed by ultrasound and pelvic MRI. Maternal-fetal monitoring revealed acute fetal distress on fetal heart rate recorded by external cardiotocoghraphy. An emergency caesarean section was performed, with total interannexal hysterectomy for haemostasis and ligation of the hypogastric arteries to prevent postpartum haemorrhage, resulting in a favourable postoperative outcome for both mother and fetus.