Introduction: Uterine rupture in the context of placenta accreta spectrum poses a significant clinical challenge with critical implications for maternal and fetal health. Early diagnosis and timely intervention in patients with risk factors, such as a history of cesarean deliveries and placenta previa, are essential to prevent severe complications. Case presentation: This report describes the case of a 36-year-old woman with a history of two cesarean sections, who presented at 30 weeks of gestation with acute abdominal pain. Evaluation revealed placenta previa with placental invasion and hemoperitoneum. During exploratory laparotomy, uterine rupture was confirmed, leading to a cesarean delivery and subsequent hysterectomy, resulting in a favorable maternal outcome and neonatal survival. Conclusion: This case underscores the importance of standardized protocols in specialized centers and ...

Introduction: Uterine rupture in the context of placenta accreta spectrum poses a significant clinical challenge with critical implications for maternal and fetal health. Early diagnosis and timely intervention in patients with risk factors, such as a history of cesarean deliveries and placenta previa, are essential to prevent severe complications. Case presentation: This report describes the case of a 36-year-old woman with a history of two cesarean sections, who presented at 30 weeks of gestation with acute abdominal pain. Evaluation revealed placenta previa with placental invasion and hemoperitoneum. During exploratory laparotomy, uterine rupture was confirmed, leading to a cesarean delivery and subsequent hysterectomy, resulting in a favorable maternal outcome and neonatal survival. Conclusion: This case underscores the importance of standardized protocols in specialized centers and ...

We report the first successful case of fetal surgery for spina bifida repair in Peru. A pregnant woman was referred to our center at 23 weeks’ gestation because of prenatal diagnosis of spina bifida. We formed a multidisciplinary international team with the goal of performing the first open intrauterine surgery in Peru. We performed a successful intrauterine surgery at 25 weeks of gestation and a healthy infant was born by cesarean section at 37 weeks of gestation. We demonstrated the feasibility of this complex intrauterine surgery in our local setting.