Placenta percreta is defined as abnormal infiltration of placental tissue through the uterine wall with invasion into nearby organs such as bladder or rectum. When placenta precreta is complicated by bladder invasion, mortality rates have been projected as high as 9.5% for the mother and 24% for the fetus. Here we reported a case of 31-year-old female patient G4 P3, pregnant 36 weeks & 4 days, previous 2 cesarean sections with placenta percreta invading the urinary bladder and anterior abdominal wall. Delivery of single living female fetus weight 3100 g with conservative management of the uterus. No placental tissue was left in situ. The patient and her infant were discharged from the hospital in a good health
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