Diagnosis and Treatment of Intramyometrial Placental Tissue Invasion in Cesarean Scar: A Case Report

Abstract

Morbidly adherent placenta is one of the rare complications of Cesarean Section Pregnancy. This is the implantation (part or whole) of the placenta via the niche (dehiscence at the hysterotomy site) or scar of the prior cesarean section into the uterine wall. It is divided into placenta accreta, placenta increta or placenta percreta depending on the degree of placental tissue uterine invasion. It poses a high risk of maternal morbidity and mortality due to missed diagnosis and non-existence of clear treatment guidelines. We present a case of adherent placental tissue in cesarean scar pregnancy diagnosed with laparoscopy. We highlight the importance of early diagnosis and treatment of placental tissue uterine invasion in cesarean scar pregnancy.