Fundal Accreta in a Nullip? YES (The Non-Previa Accreta).

What do think about when I mention to you, Placenta Accreta Spectrum (PAS)? You would probably think placenta previa and prior C-section, right? You should! Those are the two most well-known risk factors. But placenta accrete can happen without either of those 2 factors, although less commonly. I was recently asked to provide insights on a real case of suspected PAS in a primiparous patient who was suspected of having placenta accrete at attempted placenta extraction at time of her primary C-Section performed for failure to progress. Her placenta was fundal. Can a fundal placenta be an accreta? What is the frequency of that? And what is the expected patient morbidity? We’ll examine the data and highlight a recently published case report from September 2023 describing a similar presentation.