부산대학교 도서관

Placenta previa presents a highest risk to pregnancy, and placenta accreta is the most serious. Placenta accreta requirescesarean delivery and often results in massive obstetric hemorrhage and higher maternal morbidity. Challengesassociated with cesarean delivery techniques may contribute to increased maternal blood loss and morbidity rates. Several recent obstetric studies reported the usefulness of transverse uterine fundal incision for managing placentaaccreta. We present a case of placenta percreta that was treated by a transverse fundal incision. We successfullyavoided cutting through the placenta and helped decrease maternal blood loss. After delivery, the patient underwenta cesarean hysterectomy. Postoperative day 48, she experienced watery discharge and was diagnosed with vaginalfistula. We present our case and review the literature.