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April 16, 2026International Medical Case Reports JournalOpen Access

Lack of Antenatal Care Resulting in Intraoperative Diagnostic Challenges of Dense Adhesions Imitating Placenta Accreta Spectrum: A Case Report

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Authors

NANadia Larastri AlmiraAAAnita AnwarDSDodi Suardi

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Overview

Case report reveals diagnostic confusion of intraoperative adhesions mimicking placenta accreta spectrum, suggesting improved prenatal screening is needed.

Key Points

  • To highlight the diagnostic challenges presented by intraoperative adhesions that mimic placenta accreta spectrum.
  • Case report of a woman with a history of cesarean section referred for suspected placenta accreta spectrum.
  • Detailed laparotomy was performed, and adhesions were evaluated.
  • Intraoperative adhesiolysis was carried out using sharp and blunt dissection.
  • Dense adhesions were diagnosed instead of placenta accreta spectrum upon further evaluation.
  • No bridging vessels or abnormal vascularization indicating placenta accreta spectrum were found.
  • A healthy female neonate was delivered, and the placenta was expelled without complications.

Cite This Study

Almira et al. (2026) studied this question.

synapsesocial.com/papers/69e07c1e2f7e8953b7cbd7c2https://doi.org/10.2147/imcrj.s556757
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