Title: Placenta accreta on an unscarred uterus, discovered in the third trimester of pregnancy: case report and literature review.
Authors: W. AARBAOUI, T. MAZALI, H. MOUSTAIDE, S. BENKIRANE
Volume: 10
Issue: 2
Pages: 19-23
Publication Date: 2026/02/28
Abstract:
Placenta accreta spectrum disorders (PASD) encompass a range of abnormal placental implantation conditions, often involving a weakened uterine wall. This spectrum includes placenta accreta, placenta increta, and placenta percreta. The global incidence of PASD is increasing, paralleling the rise in cesarean deliveries. While typically associated with prior uterine surgery, these disorders can rarely occur in unscarred uterus. Here, we report a rare case of placenta accreta in an unscarred uterus. A 39-year-old woman with a history of one curetted miscarriage presented with severe third-trimester hemorrhage and underwent an urgent C-section. Intraoperatively, placenta accreta was diagnosed, necessitating a hysterectomy due to the lack of a cleavage plane between the placenta and the uterine wall. The patient had an uncomplicated recovery and was discharged home. Pathological examination confirmed the diagnosis.