# Multiple Large Placental Lakes in an Accreta Placenta Previa: A Rare Case Report

## TL;DR

A rare case of a pregnant woman with four large placental lakes and accreta placenta previa is reported, highlighting potential maternal and fetal complications.

## Contribution

This case report highlights the rare occurrence of four large placental lakes combined with accreta placenta previa.

## Key findings

- A 35-year-old woman with a history of seven cesarean sections presented with four large placental lakes and accreta placenta previa.
- The largest placental lake measured 10 cm, and the patient underwent a complete hysterectomy without complications.
- The case emphasizes the rarity of multiple large placental lakes in the context of accreta placenta previa.

## Abstract

Placental lakes are smooth and blood‐filled cavities of varying sizes observed during routine ultrasound examination of pregnant women.

This report describes a case of a 35‐year‐old Syrian woman who complained of vaginal bleeding at 39 weeks of gestation. The patient had a history of seven cesarean sections. Echography revealed anterior accreta placenta previa and 4 large placental lakes measuring 10, 8, 4, and 4 cm. Complete hysterectomy was performed, and the patient was discharged without complications.

The importance of this case lies in the presence of four placental lakes, with the largest reaching a size of 10 cm, accompanied by an accreta placenta previa, which is rare.

Maternal and fetal complications remain controversial, as some studies have suggested direct effects on the health of the mother and fetus, whereas others have refuted any correlation.