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Retained placenta is a serious cause of postpartum hemorrhage and maternal mortality. The optimal management of placenta accreta remains a topic of debate. We report here a 37-year-old woman with previous two cesareans and two curettages, with postdelivery retained placenta accreta who was diagnosed properly and underwent successful conservative treatment with hysteroscopic resection, with conservation of uterus. Placental tissue invasion at the scar site was diagnosed by ultrasound and MRI in a relatively asymptomatic patient. β-hCG value was on lower side and with a differential diagnosis of placental site trophoblastic tumor (PSTT). Hysteroscopic tissue biopsy was done and a ball of tissue approximately 6 × 5 × 5 cm invading the previous cesarean scar was visualized. Biopsy report came out to be retained placental tissue. Hysteroscopic resection was done with laparoscopic guidance. Patient followup done with repeat ultrasound and β-hCG.

A Unique Case of Nonradical Management of Retained Placenta Accreta