Placenta accreta with uterine rupture: a rare case report

Placenta accreta spectrum is a rare complication of pregnancy, associated with significant postpartum hemorrhage often requiring emergency postpartum hysterectomy. These cases are usually seen in patients having anterior low-lying placenta with history of previous LSCS. Here we present the case report of a patient who was 24year old, unbooked case, Gravida 2, Para 1 Live 1, who presented to our tertiary care center at 37 weeks of gestation with history of previous lower segment caesarean section with short inter-conception period of one year, with MRI showing complete placenta previa with PAS (Placenta Accreta Spectrum) with bladder involvement in the current pregnancy. Intraoperatively, silent uterine rupture and Placenta accreta noted, caesarean hysterectomy performed successfully. Post operative period was uneventful.