From High Risk to Hope: A Case Report of Live Birth from Cesarean Scar Pregnancy with Placenta Percreta

Nona  Sabeti; Houra Mousavi  Vahed; Seyedeh Azam  Pourhoseini

doi:10.18502/jri.v26i2.19438

Nona Sabeti Department of obstetrics and gynecology, Faculty of Medicine, Mashhad University of Medical Science, Mashhad, Iran
Houra Mousavi Vahed Associate Professor of obstetrics & Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Seyedeh Azam Pourhoseini Associate Professor of obstetrics & Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

DOI: https://doi.org/10.18502/jri.v26i2.19438

Keywords: Abnormal placentation, Cesarean scar pregnancy, Hysterectomy, Live birth, Placenta percreta.

Abstract

Background: Cesarean scar pregnancy (CSP) is a rare yet serious condition involving implantation of the gestational sac at the site of a prior cesarean delivery. The management becomes increasingly complex with the addition of placenta percreta. In this paper, a case of CSP complicated by placenta percreta was reported which was successfully managed through a multidisciplinary approach.

Case Presentation: A 35-year-old G4P3 woman was diagnosed with CSP at 6 weeks of gestation. Despite counseling on the risks, she opted to continue the pregnancy. Placenta percreta was diagnosed at 18 weeks. A multidisciplinary team monitored the pregnancy closely, leading to the delivery of a healthy infant at 32 weeks via cesarean delivery and subsequent hysterectomy.

Conclusion: Multidisciplinary management and close follow-up are crucial in managing high-risk CSP cases, especially those complicated by abnormal placentation.