{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T23:41:14Z","timestamp":1790811674709,"version":"4.1.0"},"reference-count":7,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T00:00:00Z","timestamp":1675209600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"University of T\u00fcbingen"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Placenta percreta occurs in about 5% of placenta accreta spectrum (PAS) and causes high maternal and fetal peripartum morbidity\/mortality. A 34-year-old multiparous 4G2P (1xcesarean section (CS)) was admitted to hospital at the 34th week of gestation. Transvaginal ultrasound revealed a placenta previa totalis et percreta with a small tissue layer towards the bladder. Ultrasound was crucial for further planning. An interdisciplinary setting was established based on this life-threatening diagnosis. Due to the onset of labor one day later, a CS was performed. Intraoperatively, the suspicion was confirmed of a placenta previa et percreta with CS scar infiltration. Due to the life-threatening bleeding risk, simultaneous subtotal hysterectomy was needed. The diagnosis was confirmed histologically. The higher the number of previous CS, the higher the PASrate. Placenta percreta is the most severe form of this, characterized by placental invasion through the entirety of the myometrium and possibly into extrauterine tissues. This case demonstrates the great importance of prenatal diagnosis with the realization of dimensions of this very rare finding, especially with an increasing CS rate and other associated complications. Due to the close interdisciplinary cooperation of the prenatal diagnosticians, obstetricians, and anesthesiologists with optimal care in a specialized center, the otherwise high morbidity\/mortality can be minimized.<\/jats:p>","DOI":"10.3390\/diagnostics13030539","type":"journal-article","created":{"date-parts":[[2023,2,2]],"date-time":"2023-02-02T03:24:49Z","timestamp":1675308289000},"page":"539","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Placenta Previa et Percreta: A Potentially Life-Threatening Condition"],"prefix":"10.3390","volume":"13","author":[{"given":"Cornelia","family":"Bachmann","sequence":"first","affiliation":[{"name":"Department for Women's Health, University Hospital T\u00fcbingen, 72076 T\u00fcbingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harald","family":"Abele","sequence":"additional","affiliation":[{"name":"Department for Women's Health, University Hospital T\u00fcbingen, 72076 T\u00fcbingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus","family":"Hoopmann","sequence":"additional","affiliation":[{"name":"Department for Women's Health, University Hospital T\u00fcbingen, 72076 T\u00fcbingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,2,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1007\/s40134-019-0321-0","article-title":"Ultrasonographic Diagnosis of Placenta Accreta Spectrum","volume":"7","author":"Berman","year":"2019","journal-title":"Curr. Radiol. Rep."},{"key":"ref_2","first-page":"e18842","article-title":"Placenta Percreta Complications","volume":"13","author":"Anderson","year":"2021","journal-title":"Cureus"},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Bartels, H.C., Walsh, J.M., O\u2019Connor, C., McParland, P., Carroll, S., Higgins, S., Mulligan, K.M., Downey, P., Brophy, D., and Colleran, G. (2022). Placenta Accreta Spectrum ultrasound stage and fetal growth. Int. J. Gynecol. Obstet., 1\u20137.","DOI":"10.1002\/ijgo.14399"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1055\/a-1079-0013","article-title":"Abnormal Placentation and Umbilical Cord Insertion","volume":"41","author":"Hoopmann","year":"2020","journal-title":"Ultraschall Med.-Eur. J. Ultrasound"},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"American College of Obstetricians and Gynecologists, and Society for Maternal-Fetal Medicine (2018). Obstetric Care Consensus No. 7.: Placenta accreta spectrum. Obs. Gynecol., 132, e259\u2013e275.","DOI":"10.1097\/AOG.0000000000002983"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1151","DOI":"10.1007\/s00404-018-4698-4","article-title":"The risk of placenta accreta following primary cesarean delivery","volume":"297","author":"Zeevi","year":"2018","journal-title":"Arch. Gynecol. Obstet."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1007\/s00404-021-06340-z","article-title":"Placenta percreta complicated with uterine rupture","volume":"305","author":"Yang","year":"2022","journal-title":"Arch. Gynecol. Obstet."}],"container-title":["Diagnostics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4418\/13\/3\/539\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T18:21:27Z","timestamp":1760120487000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4418\/13\/3\/539"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,1]]},"references-count":7,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2023,2]]}},"alternative-id":["diagnostics13030539"],"URL":"https:\/\/doi.org\/10.3390\/diagnostics13030539","relation":{},"ISSN":["2075-4418"],"issn-type":[{"value":"2075-4418","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2,1]]}}}