Although hysterectomy in this situation is a life saving procedure but it has major complications like injury to the ureters, bladder, bowel, or neurovascular structures, and permanent loss of fertility with its psychological insult. Placenta accreta accounts for (38%) of peripartum hysterectomy [3]. Maternal mortality may occur despite adequate planning, disciplinary management and transfusion...

It is important to be aware of the risk of abnormally invasive placenta in patients with a history of Asherman syndrome and uterine scarring. A prenatal diagnosis by ultrasonography is useful when planning of mode of delivery.

Velamentous and furcate cord insertion with concomitant placenta accreta is a very rare and life-threatening event of pregnancy for both the mother and the fetus. Obstetricians should be cautious about umbilical cord insertion and placental adherence abnormalities in pregnancies conceived by assisted reproductive technologies (ART) particularly in women with Müllerian anomalies.