Multiple Intramural Fibroids in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#1156
SMLE Question #1156
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 32-year-old G2P1 woman previously underwent open myomectomy for multiple intramural fibroids. The operative note documents entry into the endometrial cavity during excision of an anterior wall fibroid. Two years later, she conceives spontaneously and is now in early pregnancy. She has no prior caesarean delivery, and ultrasound shows a normally sited placenta away from the internal os. How does prior uterine cavity entry during myomectomy affect her risk of placenta accreta spectrum in this pregnancy?
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