AN OBSTETRICIAN’S DAYMARE : CERVICAL PREGNANCY WITH PLACENTA PERCRETA : A CASE REPORT

Abstract

Objective: Cervical pregnancy along with Placenta Accreta Spectrum (PAS) disorders is an extremely rare and deadly entity which is not only challenging in diagnosis but in management also. Here, a case of cervical pregnancy complicated with placenta percreta and bladder invasion at 14 weeks of gestation is presented . Case Report: A 35-year-old woman, Gravida 3, para 2, living 1 with previous 1 cesarean was diagnosed with cervical pregnancy at an estimated +4 gestational age of 13 weeks. Patient presented with vaginal bleeding which couldn't be managed conservatively , and Peripartum hysterectomy was performed eventually. Decision for Surgery was taken in view of acute episode of massive vaginal bleeding not controlled by curettage . Intraoperatively cervical ectopic pregnancy with placenta percreta involving the bladder was found. Peripartum Hysterectomy along with DJ stenting and bladder repair was performed. Post operative period had been uneventful. Conclusion:Cervical ectopic pregnancy with placenta percreta with bladder invasion can result in maternal mortality and morbidity. Timely decision making can help with successful treatment and management of bleeding. We thus present our experience of the management of this rare condition