ArticleInternational medical case reports journal2026
Lack of Antenatal Care Resulting in Intraoperative Diagnostic Challenges of Dense Adhesions Imitating Placenta Accreta Spectrum: A Case Report.
Article in International medical case reports journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Adhesions are a common long-term complication following surgery and can complicate surgical access. In some cases, intraoperative adhesion findings may resemble the placenta accreta spectrum (PAS), leading to diagnostic confusion and unnecessary referral to tertiary care centers. This case highlights a misdiagnosis of suspected PAS, which was ultimately identified as intraoperative adhesions. Case Illustration: A 30-year-old woman, G2P1 (2nd pregnancy), at full-term gestation, was referred from a district hospital with a prior history of cesarean section 12 years ago. The patient was admitted to the hospital one day prior to surgery. She presented with the latent phase of labor with increasing contractions that had begun the day before. Cesarean delivery was scheduled for the following day. During laparotomy, dense adhesions were encountered, raising suspicion of placenta accreta spectrum and prompting referral to a tertiary care facility. At the referral hospital, an emergency cesarean section was performed due to uterine inertia in a previously scarred uterus. Upon entering the peritoneal cavity, adhesions were observed between the left lateral aspect of the uterus and the left adnexa and between the bladder and the lower uterine segment. The adhesions were classified as Grade I-II. Adhesiolysis was carried out using a combination of sharp and blunt dissection. Further intraoperative founding no evidence of bridging vessels, abnormal vascularization, or uterine bulging suggestive of placenta accreta spectrum. A female neonate weighing 2890 grams was delivered via cesarean section, and the placenta was entirely expelled with gentle traction on the umbilical cord. Conclusion: Preoperative diagnosis of adhesions remains challenging. Adequate preoperative examination such as ultrasonography examination are essential in managing pregnancy with prior caesarean section.
Indexed as
Identifiers
What Socratic holds
Registered trials
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.