Abstract

Introduction: Placenta percreta is the development of an abnormal invasive placentation which potentially could develop an obstetrical emergency condition for the mother and fetus. Previous uterine surgery, as caesarean section, is the most significant factor contributing to its etiopathogenesis.
Clinical Case Presentation: The present report describes a case of a 27-year-old with an obstetrical history of six previous caesarean sections presented at our Emergency Department, complaining sudden uterine constriction during the 32nd week of pregnancy with an ultrasonographical diagnosis of central placenta previa.
Intervention: An emergency caesarean section was performed, but the absence of the uterine myometrium layer and the placenta (directly implanted on the uterine dehiscent scar) required a subsequent hysterectomy. The patient was not strictly monitored during the pregnancy, irregardless of her high risk of prenatal and perinatal complications.
Conclusion: When evaluating women with a history of multiple previous caesarean sections, it is mandatory to evaluate the occurrence of the possible complications in order to treat and prevent life-threatening conditions for the mother and the new-born.