Placenta Accreta Spectrum Leading to Peripartum Hysterectomy: A Case Report.

Placenta accreta spectrum (PAS) is a significant obstetric complication characterized by abnormal invasion of the placenta into the uterine wall. It often necessitates a peripartum hysterectomy to prevent life-threatening hemorrhage. This case report highlights a rare presentation of PAS and the subsequent surgical intervention. A 31-year-old (gravida 4, para 1) woman at 26 weeks of gestation presented with abdominal pain. Ultrasonography and MRI revealed signs consistent with retained placenta following an intrauterine fetal death. Despite attempts at manual placental removal, the placenta was adherent, and an emergency hysterectomy was performed due to placenta accreta. The patient had a history of previous cesarean section, which likely contributed to the development of PAS. Intraoperatively, the distorted uterine anatomy further complicated the surgical approach. Hence, this case underscores the importance of early detection of PAS and appropriate surgical intervention to manage the associated risks. Comprehensive preoperative planning and a multidisciplinary approach are crucial to improving outcomes in cases of PAS.