Hemi-hysterectomy: A novel approach for placenta accrete syndrome

Abstract

This is a case of a 23-year-old G1P0L0 who presented with term pregnancy with transverse lie with placenta previa and cervical fibroid. Bicornuate uterus with placenta accrete was found incidentally during cesarean section and hemi hysterectomy was done with extirpation of right pregnant horn along with placenta in situ. Identifying bicornuate uterus can be challenging especially at term by ultrasonography. Her uterine anomaly likely contributed to her placenta accrete syndrome and transverse lie and need for this unique fertility preserving surgery.