Through the Veil: Magnetic Resonance Imaging Mapping of Placenta Percreta with Bladder Invasion in a Scarred Uterus.

Magnetic resonance imaging (MRI) plays a pivotal role in antenatal diagnosis of placenta percreta, particularly when ultrasound findings are equivocal. Timely intervention improves maternal and foetal outcomes. We present a case of a 35-year-old gravida 2, para 1, live 1 (G2P1L1) woman with a history of prior lower segment caesarean section (LSCS) at 31 weeks of gestation with leaking per vaginum. This was a rare but life-threatening case of placenta percreta diagnosed antenatally by MRI in a patient with preterm premature rupture of membranes. MRI revealed features of placenta percreta, including loss of the uteroplacental interface, placental bulge, and bladder invasion. Caesarean delivery and hysterectomy were performed with intraoperative management of massive haemorrhage and bladder invasion. With this case study, we aim to emphasise the value of prompt imaging in maternal-foetal outcomes.