Hypoplastic Uterus With Pregnancy to Term: A Case Report

Background: A hypoplastic uterus is a rare anomaly often considered incompatible with successful pregnancy due to inadequate uterine size, thin myometrium, and poor vascularization. Case: This case reports on a 29-year-old primigravida with a hypoplastic uterus who achieved a full-term pregnancy complicated by central placenta previa and placenta increta. At 37 + 4 weeks of gestation, a cesarean delivery yielded a healthy neonate; however, the patient required an emergent hysterectomy due to extensive uterine rupture and uncontrolled hemorrhage. Conclusions: This case highlights the importance of meticulous prenatal surveillance in patients with uterine anomalies and underscores the potential necessity for timely intervention to avert life-threatening complications.