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A PPP patient with grade III PAS complicated by a fetal anomaly received labor induction in mid-pregnancy. Bilateral uterine artery embolization was performed before the baby was delivered during cesarean section. It was observed during surgery that the placenta in the lower uterine segment penetrated to the sub-serosal region and had a rich blood supply. PAS = placenta accreta spectrum, PPP = pernicious placenta previa.
