Escalating placenta invasiveness: Repeated placenta accreta at the limit of viability

Shirley Greenbaum, Alla Khashper, Elad Leron, Eric Ohana, Mihai Meirovitz, Reli Hershkovitz, Offer Erez*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Placenta percreta is an obstetric condition in which the placenta invades through the myometrium. This is the most severe form of placenta accreta and may result in spontaneous uterine rupture, a rare complication that threatens the life of both mother and fetus. In this case report, we describe a 32-year-old woman in her fourth pregnancy, diagnosed with repeated placenta accreta, which was eventually complicated by spontaneous uterine rupture at 24 weeks’ gestation. This patient had a history of abnormal placentation in prior pregnancies and previous uterine injuries. This case demonstrates a pattern of escalating placental invasiveness, and raises questions regarding the process of abnormal placentation and the manifestation of uterine rupture in scarred uteri.

Original languageEnglish
Pages (from-to)119-123
Number of pages5
JournalInternational Journal of Women's Health
StatePublished - 15 Apr 2016
Externally publishedYes


  • Cesarean section scar
  • Dilatation and curettage
  • Laparoscopy
  • Placenta percreta
  • Residua
  • Spontaneous uterine rupture
  • Uterine injury


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