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We report two cases of placenta accreta identified during pregnancy after laparoscopic surgery. The first case involved a 39-year-old woman with a history of miscarriage. Ultrasonography and MRI revealed multiple uterine myomas and adenomyosis. One year after laparoscopic myomectomy and adenomyosis resection, ultrasonography at 33 weeks of gestation revealed a thin uterine posterior wall and placental invagination, indicating placenta accreta. During cesarean section, the muscular layer required repair after removal of the placenta. The second case involved a 37-year-old woman with excessive menstruation. Ultrasonography revealed a large uterine myoma adjacent to the endometrial cavity. Four years after laparoscopic myomectomy, ultrasonography revealed placenta accreta at 35 weeks of gestation. During cesarean section, the muscular layer needed to be partially resected together with the placenta. A thorough placental evaluation with ultrasonography is recommended in pregnancies achieved after myomectomy and adenomyosis resection.

Two cases of placenta accreta identified during pregnancy after laparoscopic myomectomy and resection of adenomyosis