{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:03:23Z","timestamp":1756425803570,"version":"3.44.0"},"reference-count":15,"publisher":"BMJ","issue":"7","license":[{"start":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T00:00:00Z","timestamp":1751846400000},"content-version":"unspecified","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,5,9]]},"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:p>Cervical cerclage, particularly transabdominal cerclage (TAC), is a last resort surgical procedure to manage cervical incompetence. Despite its high success rate, TAC carries inherent risks and can result in complications. Placenta accreta spectrum (PAS) disorder, a rare iatrogenic condition linked to previous uterine surgeries, especially caesarean sections, poses a significant risk of severe obstetric haemorrhage during delivery, often leading to maternal and neonatal morbidity.<\/jats:p>\n               <jats:p>This case presents a woman in her 30s with a history of cervical insufficiency who underwent an abdominal cerclage. An uneventful pregnancy ensued, leading to a planned caesarean delivery. However, her subsequent pregnancy was complicated by cerclage erosion, uterine scar dehiscence and ultimately PAS disorder. These complications were confirmed through transvaginal ultrasound and MRI assessments prenatally and on histopathology after birth. A caesarean hysterectomy was performed at 32 weeks due to threatened preterm labour. Both mother and her infant experienced an uncomplicated postpartum and neonatal recovery.<\/jats:p>","DOI":"10.1136\/bcr-2024-264194","type":"journal-article","created":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T17:50:20Z","timestamp":1751910620000},"page":"e264194","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Placenta accreta spectrum as a complication of transabdominal cerclage"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-7162-1311","authenticated-orcid":false,"given":"Heleen","family":"Scherrenberg","sequence":"first","affiliation":[{"name":"Gynecology & Obstetrics, KU Leuven, Leuven, Vlaams-Brabant, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne-Sophie","family":"Van Rompuy","sequence":"additional","affiliation":[{"name":"Department of Pathology, UZ Leuven, Leuven, Vlaams-Brabant, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1994-5365","authenticated-orcid":false,"given":"Michael","family":"Aertsen","sequence":"additional","affiliation":[{"name":"Radiology, Universitaire Ziekenhuizen Leuven, Leuven, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1381-4033","authenticated-orcid":false,"given":"Johannes","family":"van der Merwe","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology, UZ Leuven, Leuven, Vlaams-Brabant, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,7,7]]},"reference":[{"key":"2025082801521743000_18.7.e264194.1","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1002\/ijgo.12761","article-title":"FIGO Placenta Accreta Diagnosis and Management Expert Consensus Panel. FIGO classification for the clinical diagnosis of placenta accreta spectrum disorders","volume":"146","author":"Jauniaux","year":"2019","journal-title":"Obstet Gynecol Int J"},{"key":"2025082801521743000_18.7.e264194.2","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1016\/j.ajog.2019.01.233","article-title":"Prevalence and main outcomes of placenta accreta spectrum: a systematic review and meta-analysis","volume":"221","author":"Jauniaux","year":"2019","journal-title":"Am J Obstet Gynecol"},{"key":"2025082801521743000_18.7.e264194.3","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1002\/jcu.22186","article-title":"Prenatal sonographic diagnosis of placenta accreta--impact on maternal and neonatal outcomes","volume":"42","author":"Hall","year":"2014","journal-title":"J Clin Ultrasound"},{"key":"2025082801521743000_18.7.e264194.4","first-page":"145","article-title":"TRANSABDOMINAL CERVICO UTERINE CERCLAGE DURING PREGNANCY FOR THE TREATMENT OF CERVICAL INCOMPETENCY","volume":"25","author":"BENSON","year":"1965","journal-title":"Obstet Gynecol"},{"key":"2025082801521743000_18.7.e264194.5","doi-asserted-by":"crossref","first-page":"571","DOI":"10.21037\/atm-2020-78","article-title":"Transabdominal cerclage (TAC) as a new tool for the treatment of cervical incompetence (CI)","volume":"8","author":"Ishioka","year":"2020","journal-title":"Ann Transl Med"},{"key":"2025082801521743000_18.7.e264194.6","doi-asserted-by":"crossref","first-page":"868","DOI":"10.1067\/mob.2002.126959","article-title":"Abdominal versus vaginal cerclage after a failed transvaginal cerclage: a systematic review","volume":"187","author":"Zaveri","year":"2002","journal-title":"Am J Obstet Gynecol"},{"key":"2025082801521743000_18.7.e264194.7","doi-asserted-by":"crossref","first-page":"4","DOI":"10.4103\/gmit.gmit_61_22","article-title":"Complications Associated with Cervical Cerclage: A Systematic Review","volume":"12","author":"Alani","year":"2023","journal-title":"Gynecol Minim Invasive Ther"},{"key":"2025082801521743000_18.7.e264194.8","doi-asserted-by":"crossref","first-page":"759","DOI":"10.1016\/j.jmig.2020.11.014","article-title":"Complications of Laparoscopic and Transabdominal Cerclage in Patients with Cervical Insufficiency: A Systematic Review and Meta-analysis","volume":"28","author":"Marchand","year":"2021","journal-title":"J Minim Invasive Gynecol"},{"key":"2025082801521743000_18.7.e264194.9","doi-asserted-by":"crossref","first-page":"752","DOI":"10.1002\/uog.20246","article-title":"Prenatal ultrasound staging system for placenta accreta spectrum disorders","volume":"53","author":"Cali","year":"2019","journal-title":"Ultrasound Obstet Gynecol"},{"key":"2025082801521743000_18.7.e264194.10","doi-asserted-by":"crossref","DOI":"10.1016\/j.ajogmf.2022.100757","article-title":"The effectiveness of transabdominal cerclage placement via laparoscopy or laparotomy: a systematic review and meta-analysis","volume":"5","author":"Hulshoff","year":"2023","journal-title":"Am J Obstet Gynecol MFM"},{"key":"2025082801521743000_18.7.e264194.11","doi-asserted-by":"crossref","first-page":"S12","DOI":"10.1016\/j.jmig.2020.08.056","article-title":"Transabdominal Cerclage and Timing of Removal: Cesarean Vs. Interval Laparoscopic","volume":"27","author":"Smith","year":"2020","journal-title":"J Minim Invasive Gynecol"},{"key":"2025082801521743000_18.7.e264194.12","doi-asserted-by":"crossref","DOI":"10.1148\/rg.220090","article-title":"Placenta Accreta Spectrum Disorders: Update and Pictorial Review of the SAR-ESUR Joint Consensus Statement for MRI","volume":"43","author":"Patel-Lippmann","year":"2023","journal-title":"Radiographics"},{"key":"2025082801521743000_18.7.e264194.13","first-page":"4","article-title":"MRI evaluation of placenta accreta spectrum disorders","volume":"155","author":"Comstock","year":"2021","journal-title":"Obstet Gynecol Int J"},{"key":"2025082801521743000_18.7.e264194.14","first-page":"19","article-title":"Imaging modalities for diagnosis and planning management in placenta accreta spectrum disorders: a narrative review","volume":"155","author":"Palacios-Jaraquemada","year":"2021","journal-title":"Obstet Gynecol Int J"},{"key":"2025082801521743000_18.7.e264194.15","doi-asserted-by":"crossref","first-page":"807","DOI":"10.1097\/TA.0000000000003090","article-title":"A multidisciplinary approach and implementation of a specialized hemorrhage control team improves outcomes for placenta accreta spectrum","volume":"90","author":"Nieto-Calvache","year":"2021","journal-title":"J Trauma Acute Care Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-264194","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:52:25Z","timestamp":1756371145000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-264194"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":15,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2025,7,7]]},"published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1136\/bcr-2024-264194"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-264194","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2025,7]]}}}