Placenta percreta with omental deciduosis- A rare case report

Abstract

Placenta percreta is the most invasive form of placenta accreta spectrum (PAS) in which there is full thickness invasion of uterine wall by villous tissue through the serosa. Omental deciduosis is a benign transient condition uncommonly encountered during pregnancy. It can mimic granulomatous pathology and various metastatic carcinomas both grossly and microscopically. We report a case of 28 year Rh negative, female, primigravida who presented with amenorrhea since 7.5 months and absent fetal movements since 1 day. Ultrasonography depicted fetus with 33 weeks POG with intrauterine fetal death with breech presentation and severe oligohydramnios. Patient underwent laparotomy and subtotal hysterectomy along with extraction of fetus and omentectomy. Histopathology findings revealed placenta percreta and omental deciduosis.This case is reported as the concomitant existence of both placenta percreta and omental deciduosis in a single primigravida patient is an extremely rare occurrence.