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Niger Postgrad Med J. 2019 Jan-Mar;26(1):61-64. doi: 10.4103/npmj.npmj_191_18.

Undiagnosed placenta praevia percreta: A rare case report and review of management.

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Department of Obstetrics and Gynecology, College of Medicine, University of Lagos, Lagos University Teaching Hospital, Idi-Araba, Lagos, Nigeria.


Placenta accreta spectrum disorders, especially placenta percreta (PP) and placenta praevia (PLP), are major risk factors for massive obstetric haemorrhage which is a common cause of maternal morbidity and mortality in our environment. This risk becomes exponential and life-threatening when the two conditions co-exist in the same patient. Even in advanced countries with readily available expertise and state of the art resuscitative and supportive facilities, these conditions are associated with grave maternal and perinatal morbidity and mortality. We present a challenging case of PP co-existing with major PLP, which was diagnosed intraoperatively and the patient had total abdominal hysterectomy and bilateral internal iliac artery ligation to control haemorrhage.


Morbidly adherent placenta; placenta accreta spectrum disorders; placenta percreta; placenta praevia

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