{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T00:53:18Z","timestamp":1780966398161,"version":"3.54.1"},"reference-count":16,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,1,30]]},"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:p>Placenta accreta spectrum (PAS) disorder is a potentially life-threatening condition which rarely complicates second trimester miscarriages. This report describes a woman who was pregnant at 17 weeks with a history of previous caesarean section and uterine curettage. She presented with hypovolaemic shock following massive per-vaginal bleeding at home. A 180\u2009g fetus was spontaneously aborted, but the placenta was retained in the uterus. After resuscitation, she underwent surgery, during which a morbidly adherent placenta was identified necessitating an emergency hysterectomy. Histopathological examination confirmed placenta accreta. This case highlights the risk of PAS complicating second trimester pregnancies and underscores the importance of early recognition and intervention to enhance maternal outcomes.<\/jats:p>","DOI":"10.1136\/bcr-2024-263686","type":"journal-article","created":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T12:47:20Z","timestamp":1739278040000},"page":"e263686","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Placenta accreta spectrum disorder complicating a second trimester miscarriage"],"prefix":"10.1136","volume":"18","author":[{"given":"Muhammad Hairie Hakimi","family":"Harun","sequence":"first","affiliation":[{"name":"Department of O&G, Hospital Sultanah Nur Zahirah, Kuala Terengganu, Terengganu, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0914-6079","authenticated-orcid":false,"given":"Roziana","family":"Ramli","sequence":"additional","affiliation":[{"name":"Department of O&G, Hospital Sultanah Nur Zahirah, Kuala Terengganu, Terengganu, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nurul Atiah","family":"Mohd Ali","sequence":"additional","affiliation":[{"name":"Department of Pathology, Hospital Sultanah Nur Zahirah, Kuala Terengganu, Terengganu, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-1382-0781","authenticated-orcid":false,"given":"Nor Jumizah","family":"Abd Kadir","sequence":"additional","affiliation":[{"name":"Department of O&G, Hospital Sultanah Nur Zahirah, Kuala Terengganu, Terengganu, Malaysia"},{"name":"Obstetrics and Gynaecology, Hospital Wanita Dan Kanak-Kanak Sabah, Kota Kinabalu, Sabah, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,2,11]]},"reference":[{"key":"2025082703583318000_18.2.e263686.1","doi-asserted-by":"crossref","first-page":"732","DOI":"10.1002\/ijgo.14376","article-title":"A simple guide to ultrasound screening for placenta accreta spectrum for improving detection and optimizing management in resource limited settings","volume":"160","author":"Adu-Bredu","year":"2023","journal-title":"Int J Gynaecol Obstet"},{"key":"2025082703583318000_18.2.e263686.2","doi-asserted-by":"crossref","unstructured":"Francois K , Foley M . 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