A 32-year-old multiparous woman (gravida 2, para 2) with a history of previous cesarean section had acute abdominal pain and collapsed at 21 weeks of gestation. Exploratory laparotomy was performed because of the patient's worsening condition; ultrasound examination results were suggestive of massive hemoperitoneum, and fetus in vertex presentation with bradycardia. Uterine rupture between the left lower segment and borderline of the cervix in the anterior wall with active bleeding was confirmed. An uncomplicated classical cesarean section was performed, but the fetus was stillborn due to preterm birth. Hysterectomy was performed after the cesarean section. The patient was admitted to intensive care units for 3 days and was discharged in 12 days following delivery. Placenta percreta at the anterior lower segment of the uterus was confirmed in the pathology report.

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• Placenta accreta spectrum with severe morbidity: fibrosis associated with cervical-trigonal invasion
  José M. Palacios-Jaraquemada, Álbaro José Nieto-Calvache, Rozi Aditya Aryananda, Nicolás Basanta, Clara Ivette Campos, Grace Ariani
  The Journal of Maternal-Fetal & Neonatal Medicine.2023;[Epub]     CrossRef