Placenta percreta: ultrasound diagnosis and conservative surgical management.

Abstract

Placenta percreta is a rare yet serious complication of pregnancy. Only an occasional case has been managed conservatively without hysterectomy. We report a case of placenta percreta managed conservatively at 16 weeks' gestation by oversewing the uterine defect created by the protruding placenta and continuing the pregnancy for an additional eight weeks. The diagnosis of placenta percreta was made again at 26 weeks' gestation by ultrasonography, and a placenta increta to within 1 mm of the serosa was confirmed histologically. This case is added to the five cases of placenta percreta managed by conservative operative therapy.