An unusual presentation: placenta percreta with uterine conservation.

Placenta acreta is a rare complication of pregnancy characterized by abnormal placental adherence. In its extreme form, percreta, rupture of the uterus, and profound hemorrhage may occur. Aggressive resuscitation and early surgery provide the most favorable outcome. Conservative management plays an important role in individual cases where fertility must be preserved or the operative time needs to be reduced to a minimum.