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Placenta percreta causing rupture of an unscarred uterus at the end of the first trimester of pregnancy : case report
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| Abstract |
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| Reports on placenta percreta in early pregnancy leading to a spontaneous rupture of the uterus are rare. We report a case of this potentially life-threatening complication in the 14th week of pregnancy in an otherwise healthy woman who underwent a manual extraction of the placenta during a previous delivery but who had no history of severe pathology that could have potentially resulted in uterine damage. The occurrence of severe abdominal pain and the presence of a large quantity of free fluid in the abdomen necessitated an emergency laparotomy, revealing a haemoperitoneum due to rupture of the uterus, which was followed by a hysterectomy. This case demonstrates that in patients with a history of placenta accreta and subsequent manual extraction of the placenta, a close investigation of the uterine wall and placentation should be performed in the first trimester in order to anticipate a placenta percreta. | |
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| Language |
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English
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| Source (journal) |
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Human reproduction. - Bonn |
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| Publication |
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Bonn : 2004
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| ISSN |
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0268-1161
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| Volume/pages |
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19:10(2004), p. 2401-2403
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| ISI |
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000223943500037
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| Full text (open access) |
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