Placenta percreta

Case contributed by Aws Qahtan Hamdi
Diagnosis certain


Pregnant women with a history of previous cesarean sections presented for a routine third-trimester ultrasound examination.

Patient Data

Age: 40 years
Gender: Female

Color Doppler images


Color Doppler ultrasound images show protrusion of placental tissues beyond the outer confines of the uterine myometrium.

There is thinning of the uterine serosa-bladder wall complex.

There is increased vascularity between serosa and bladder.

Case Discussion

Placenta percreta is the most severe but least common form of the spectrum of abnormal placental villous adherence, where there is transmural extension of placental tissue across the myometrium with a serosal breach.

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