PLACENTA PREVIA WITH INVASION INTO THE UTERINE SCAR AND PLACENTAL HERNIA FORMATION (A CASE REPORT)
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Abstract
Placenta accreta spectrum (PAS) is one of the most dangerous obstetric pathologies, the incidence of which is steadily increasing alongside the rise in cesarean sections. An extremely rare and prognostically unfavorable variant is the formation of a placental hernia—a protrusion of the placenta beyond the uterine contour through an incompetent postoperative scar.
This clinical case demonstrates the management and delivery of a patient with central placenta previa, placenta accreta into the uterine postoperative scar, and placental hernia formation against the background of two post-cesarean section scars. It also demonstrates a successful multidisciplinary approach to the management of patients with severe forms of PAS. It highlights the importance of antenatal MRI diagnostics, early planned surgical intervention, and the use of organ-preserving technologies.
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