Evidence map›Paper›PMID 41930067›Full record

ArticleCureus2026

Placenta Accreta Spectrum in a Patient Without Prior Cesarean Delivery: A Case of Posterior Placenta Previa.

Vithura Kunarathnam, Mariette Sargios, Merrai Asad, Gabrielle DeGuzman, Izuka Udom-Rice

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Vithura KunarathnamObstetrics and Gynecology, Nassau University Medical Center, East Meadow, USA.
Mariette SargiosMedicine, American University of the Caribbean School of Medicine, Sint Maarten, NLD.
Merrai AsadMedicine, American University of the Caribbean School of Medicine, Sint Maarten, NLD.
Gabrielle DeGuzmanObstetrics and Gynecology, Nassau University Medical Center, East Meadow, USA.
Izuka Udom-RiceObstetrics and Gynecology, Nassau University Medical Center, East Meadow, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Placenta accreta spectrum (PAS) is a potentially fatal obstetric condition characterized by abnormal placental adherence to the myometrium. It is strongly associated with prior cesarean delivery or major uterine surgery; however, a minority of cases occur in patients without these histories. We report the case of a 34-year-old, gravida 3, para 2 (G3P2002) woman with no history of cesarean delivery and only a prior dilation and curettage, who presented at 32 weeks and 3 days of gestation with complete posterior placenta previa and imaging findings concerning for PAS. Ultrasonography revealed placental lakes and increased vascularity, while magnetic resonance imaging (MRI) demonstrated indistinct retroplacental myometrium with focal uterine bulging. The patient was counseled regarding risks, including hemorrhage, transfusion, and hysterectomy. A multidisciplinary care plan was established for cesarean hysterectomy at 34 weeks of gestation, with coordination among maternal-fetal medicine, anesthesiology, neonatology, general surgery, transfusion medicine, and intensive care services. This case highlights that PAS can present in women lacking traditional risk factors and that posterior placenta previa may pose additional diagnostic challenges, underscoring the need for heightened vigilance and multidisciplinary planning to optimize outcomes.

Indexed as

atypical presentationcesarean hysterectomylow-risk pregnancymagnetic resonance imagingobstetric hemorrhageobstetric ultrasoundplacenta accretaplacenta accreta spectrumplacenta previaposterior placenta previa

Identifiers

PMID41930067
PMCPMC13040601

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.