Hemi-hysterectomy for placenta accreta in a bicornuate uterus

Introduction This paper reports a case of hemihysterectomy for placenta accreta in a bicornuate uterus. Case report This is a case of a 29-year-old G3P1021 whose pregnancy was complicated by a bicornuate uterus, history of cervical incompetence with cerclage placement, and retained placenta in the right uterine horn after a term vacuum-assisted vaginal delivery. Magnetic resonance imaging demonstrated placenta increta in the right uterine horn and the patient underwent an abdominal supracervical hemi-hysterectomy and right salpingectomy. Conclusion Our patient’s three D&C procedures and her uterine anomaly likely contributed to her placenta accreta and need for this unique fertility preserving surgery.