Journal of Reproduction & Infertility

Journal of Reproduction & Infertility

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

Authors
Nona Sabeti 1
Houra Mousavi Vahed 2
Azam Pourhoseini 2
1 Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
2 Associate Professor of obstetrics & Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
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.
Keywords
Abnormal placentation
Cesarean scar pregnancy
Hysterectomy
live birth
Placenta percreta
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Journal of Reproduction & Infertility
Volume 26, Issue 2
Spring 2025
Pages 126-130